How did you hear about us?Existing PatientOnline SearchOnline AdBillboardRadio AdMagazine AdSocial MediaReferralWebsiteEmailDirect MailWalk-inOther What treatments are you interested in? (Check all boxes that apply) Weight LossLaser Hair RemovalInjectablesSkin TreatmentsOther *Med Spa services available at Tempe location only
Preferred appointment: Time10:00 AM11:00 AM12:00 PM1:00 PM2:00 PM3:00 PM4:00 PMLocationTempePeoria*We will contact you to schedule. This information will speed up the process for you, but does not guarantee your preferred appointment date and time.
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