Face-Lift
To Book a Consultation General Information Ordinateur Image Doctor Fanous The Clinic Home

Welcome

 

Our informative and experienced staff will be more than happy to provide with all the information you require.

Everyone has different dreams and expectations when it comes to their appearance and ideal image.

     
v Name:  
v Date of birth:  
v Address:  
v City:  
     
   


Prov

  


Country
v Zip Code:  
     
v Phone:  
Home  
Office
     
v Fax number:  
     
v e-Mail:  
     
Preference for type of consultation (Check one answer):
    Consultation with Doctor N.Fanous $100 CAN
     (refundable if any treatment is taken)
Free consultation with coordinator
     
Preference of time (check one answer):
    AMPM
     
Preference of day (check all possible days):
    Monday Tuesday Wednesday Thursday Friday
     
E-mail us the completed form by clicking .: submit :.
     
 
Someone from our staff will contact you within 2-3 days to confirm your appointment. Thank you.