Sitemap

Schedule Your Consultation Contact us today, we are here to help!

do or do not , there is no try check that box

First Name

Last Name

Email

Phone

Date of Birth

Street Address

City

State

Zip Code

Procedure of Interest

Do you Smoke Tobacco?

Height and Weight

Feet

Inches

lbs

BMI

BMI’s over 40 are not ideal candidates for surgery.

Previous Surgeries

Referred By

Medicines Currently Taking

How did you hear about our practice?

Message

What is your motivation for getting this procedure? Why now?

Name a few challenges in your life that you have overcome?

*Please note that there is a $150 consultation fee for in-person and virtual consultations. If you have any questions at all about how to properly set up your device for the consultation, don’t hesitate to ask! All patients who submit an inquiry will be required to pay the consult fee to proceed. AND/OR if you have any questions about the eligibility for surgery then contact the office to speak to a staff member.

Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

Chrysalis Cosmetics

Call. 916.248.4447

Text. 916.248.4447

Fax. (916) 760-8218

785 University Avenue
Sacramento, CA 95825