Virtual Consultation

Contents

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I acknowledge that DiFrancesco Plastic Surgery does not accept insurance.*

Patient Photos

Take at least 1 photo of each area and attach the photos below.

  • Only take selfies for face procedures
  • Have someone else take the photo or use a mirror for breast or body procedures
  • For face procedures, only include a picture of your face
  • For body or breast procedures, you do not need to include your face
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Max. file size: 1,000 MB.
    Drop files here or
    Max. file size: 1,000 MB.
      Drop files here or
      Max. file size: 1,000 MB.

        Form terms*
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