Online Consultation Patient Form
Please fill out all the basic information for your detailed online consultation. Also, please send us clear photos of face or body to receive doctor's comments at vipps@vipps.kr. :)
Email address *
What is your full name? *
Your answer
Please provide your contact phone number. If you have messenger application you use (whatsapp/kakao talk), inform us.
ex) Phone call and whatsapp : +82-10-1234-5678 / Kakaotalk: vipps
Your answer
What is your age? *
Your answer
What surgeries or treatments are you interested in? *
Your answer
Why are you considering plastic surgery? *
Required
When are you planning to visit Korea for surgeries or consultation?
Your answer
Is this your primary (first) surgery? *
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