Aesthetic Appointment Request Form

You may request an appointment using this online appointment form, or you may call our office at (469) 246-2062. Please allow us one business day to respond to your online request.

New cosmetic patients can save time by filling out our patient paperwork before you appointment. Download the forms, fill in the fields, print them off, and bring the paperwork with you to your appointment!

If you have any relevant medical records, please bring them with you to your appointment. You may also upload them using this form when you request your appointment.

**The Texas Medical Board (Ch. 193.17) and the Texas Department of State Health Services mandate that all aesthetic patients must have a current physical exam and a "prescription" for aesthetic and laser services by one of our medical providers annually prior to the delivery of any aesthetic or laser service(s).
Note: This form is not for people who need urgent medical care. If you or someone you care for has a medical emergency, please call 911 or go to the nearest emergency room immediately.
Please complete the form to request an Aesthetic Appointment

Aesthetic Appointment

Please indicate the reason for your visit, and your preferred day and time so that we can better accommodate your request:

Secure Upload Appointment Documents

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Plano Office
5805 Coit Rd. Suite 203,
Plano, Texas, 75093
Phone: 972-769-8180

Plano Office Hours
Mon – Thur 8:15am – 4:00pm*
Friday 8:00am – 1:30pm

Richardson Office
3600 Shire Blvd. Suite 210,
Richardson, Texas, 75082

Richardson Office Hours
Mon – Thur 8:15am – 4:00pm*
Friday – Closed

Aesthetic and Laser Center
5805 Coit Rd. Suite 202,
Plano, Texas, 75093
Phone: 469-246-2062

Aesthetic & Laser Center Hours
Mon – Fri 8:00am – 4:00pm*
Closed for lunch 12:00pm-1:00pm