Virtual Consultations

The health & safety of our patients and team members is our number one priority. Our practice is now conveniently offering Virtual Visits & Online Consultations for our patients. For the best experience, please answer a few questions about yourself using our online consultation form below.

After reviewing your form, one of our coordinators will reach out to you to schedule an online consultation. You will be emailed a secure link to connect with our team via a HIPAA-compliant video conferencing tool at a scheduled appointment time. If you have any questions, please feel free to contact us via phone.

Step 1: Please complete the form below

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

First Name

Last Name

Phone

Mailing Address

Date of Birth

Height

Weight

Gender

Procedure of Interest

How did you hear about our practice?

Preferred Location

Step 2: Select Preferred Provider

Preferred Provider

Yes, I'd like to know about events and special offers by e-mail

By checking this box, you consent and understand the implications of a telemedicine consultation.

Download Consent Form Here

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. By providing my phone number to Regional Plastic Surgery, I agree and acknowledge that Regional Plastic Surgery may send text messages to my wireless phone number for any purpose. Message and data rates may apply. Message frequency will vary, and you will be able to opt out by replying “STOP”. For more information on how your data will be handled please visit www.regionalplasticsurgery.com/privacy-policy/

Virtual Consultations

Step 1: Please complete the form below

Step 2: Select Preferred Provider

Step 3: A member of our patient concierge will contact you to schedule your virtual consultation once the form above is submitted.

At RPSC it's all about you...

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