GET YOUR FREE VIRTUAL CONSULTATION HERE

Given the fact that each body has diferent proportions and structures it is necessary to know more about you. Please fill out this form to complete your Virtual Consultation.
Fields marked with an * are required

Attach/upload pictures

  • Face pictures must be taken from forehead to neck from front and sides angles
  • Breast pictures must be taken from neck to abdomen, from front, sides and back angles and with out clothes
  • Body Pictures they must be taken from neck to knees, from front, sides and back angles and without clothes

The patient's personal data and pictures are protected by the privacy statement laws, therefore rest assured that they will not be misused and are processed by professional staff. Learn more.


 

Your personal information here collected, will be used by Unidad Quirurgica CER, S.C. with address in 2386 Calle Diego Rivera Zona Rio, Tijuana Baja California, Mexico C.P. 22660. All with the purpose of carrying out the LEY DE PROTECCIÓN DE DATOS (Information protection law), as well as the primary and basic principles for providing our services. For more information about data processing from Virtual Consultation and your rights you can access the full version of this privacy notice if you click here.

This form, including any attachments, is meant only for the intended recipient and may be a confidential communication or a communication privileged by law.

Thank you in advance for your cooperation.