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appointment         

To expedite your visit, please print out and complete our intake questionare before your scheduled visit.

We encourage you to contact us with any questions you may have about aesthetic plastic surgery, our AAAASF certified center or our doctors. We also welcome you to schedule a complimentary personal consultation with one of our board certified plastic surgeons. Please feel free to call us, send an email, or use our convenient online contact form.

Phone: (817) 442-8900  e-mail: jhale@SouthlakePlasticSurgery.com Directions to Southlake Plastic Surgery

Which procedures or services are you interested in?      (check all that apply)

Breast Augmentation
Nose Reshaping
Breast Lift
Facelift
Breast Reduction
Neck Lift
Tummy Tuck
Brow Lift
Liposuction
Eyelid Surgery
Body Lift
Chin Enlargement
Thigh/Buttock Lift
Ear Surgery
 
 
Restylane®
Fraxel® Treatment
Botox® Cosmetic
 
 
 
Patient Financing
Other (please specify below)

Please enter any additional services or questions you may have:

Would you like to schedule a complimentary consultation with one of our doctors?
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If yes, which doctor would you like a consultation with?

Dr. Bogdan
Dr. Mason
No Preference - first available!

Your Name:

Street Address:

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Phone:
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Preferred method of contact:     e-mail      phone       mail

Would you like to receive our e-mail Newsletter?   Yes     No

How did you find our web site?
Search engine Saw address in ad
PlasticSurgery.org (American Society of Plastic Surgeons)
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For your privacy, this information will be used solely by Southlake Plastic Surgery and will not be shared with any other persons or organizations.