Virtual Consultation Form

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All information submitted is strictly confidential and protected by HIPAA compliance

Before we start...

All information submitted is strictly confidential and protected by HIPAA compliance

What’s your first name ?

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Really nice to meet you, Sarah !

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I want to receive updates, news, and promotions

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VIRTUAL CONSULTATION

First, let’s talk about your goals.

Tell us about your goals. Your patient care concierge will create a personalized surgical plan to achieve your dream body.

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Goals

What type of procedure(s) are your interested in ?

BREAST

BODY

FACE

NON-SURGICAL

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Select one...Breast Reconstruction Pectus Excavatum Breast Implant Removal Nipple Augmentation Nipple and Areola Reduction Bottoming Out Implant Correction Transgender Breast Augmentation Breast Asymmetry Correction Gummy Bear Implants Symmastia Repair Inverted Nipple Repair Tubular Breast Deformity Correction Capsular Contracture Removal Double Bubble Correction Fat Transfer to Breasts Breast Lift Breast Augmentation Revision Breast Reduction Breast Augmentation with Implants

Goals

Choose your specific procedure(s)

BREAST PROCEDURE

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FACE PROCEDURE

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Select one...Neck Lift Rhinoplasty Revision Rhinoplasty Neck Contouring Mini Facelift Lip Lift Facial Rejuvenation Face Lift Earlobe Repair or Reduction Ear Surgery Eyelid Surgery Chin Implant Brow Lift

BODY PROCEDURE

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Select one...Male Chest Reduction Scar Revision Mole Removal Birthmark Removal Hidradenitis Suppurativa Excess Skin Removal Skin Grafting Cyst Removal Lipoma Removal Liposuction Revision Labiaplasty Armpit & Braline Fat Reduction Umbilical Hernia Repair Belly Button Surgery Massive Weight Loss Surgery High-Definition Liposuction Male Tummy Tuck Mini Tummy Tuck Tummy Tuck Revision Mommy Makeover Liposuction Arm Lift Tummy Tuck Brazilian Butt Lift

Goals

Non-surgical procedure

What procedures are your interested in ?

Collagen Induction Therapy

Neuromodulators

Venus Legacy

Under-Eye Dark Circle Correction

NovaThreads

Nonsurgical Rhinoplasty

Hair Restoration

Nonsurgical Chin Augmentation

Nonsurgical Butt Lift

Nonsurgical Brow Lift

Lip Enhancements

Filler (any area)

Cheek Augmentation

Hand Rejuvenation

Cellulite Reduction Treatment

Barrett Standard

Barrett Premier

Barrett Peels

Barrett Luminosity (CO2 Resurfacing Laser)

Barrett Brilliance (ADVATx Laser)

Goals

What are your concerns? What are your goals?

See an example

VIRTUAL CONSULTATION

Share your goals.

Example:

I am a mother of three with excess skin around my tummy after childbirth. Despite being super active, it feels like no matter what I do that extra skin just won't go away. I am looking to tighten and tone my abdominal area to get my pre-baby stomach back. I have also noticed my breasts drastically decrease in size and perkiness after breastfeeding. I am hoping Dr. Barrett can recommend the best procedure to give me some lift and volume back.

Now, let’s cover the basics.

We’re working on your plan! Give us some basic background information so we can keep curating your journey.

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Basics

What’s your height and weight ?

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| in

| lbs

Basics

How many pregnancies have you had, if any?

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Basics

Have you had past surgical procedures?

Yes

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We are almost there!
Time for photos.

Follow the photo guide to upload pictures of the area(s) of focus. Your surgeon will review these before your in-office consultation.

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