Online Booking Gray Facial Plastic Surgery

Online Booking Gray Facial Plastic Surgery

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Online Scheduling Form

Please uploaded a set of photos using this form prior to being redirected to our online schedule.

Photos taken in front of a white background or clean wall are encouraged with natural light if possible.

Front Angle

3/4 View (Either Left or Right)

Profile Angle (Either Left or Right)

Additional Photo Uploads (Optional); Max 5 additional photos

If you prefer to email photos directly to our team, please email them directly to [email protected].

By checking this box, you are agreeing for us to follow up by text message, email, or phone

Dr. Gray’s current cosmetic consultation fee is $75 which is collected as prepayment for scheduling a consultation date/time. This charge can be credited to any future procedure/treatment.

I understand that my online booking appointment request is tentative until photos are reviewed (either submitted in this form or by secure email)