Virtual Consultation Form

 
  • To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.
    1. Use a solid background.
    2. Take one frontal photo with the face or body centered and looking straight.
    3. Take at least one, preferably two profile photos

    File formats accepted: gif | png | jpg | jpeg
    File size limit: 3mb
 

Verification

**After this form is completed, you will receive an email from Intakeq.com. The email will have “Dr. Mardirossian” in the subject line, and will contain a link to our new patient forms that you will need to complete prior to scheduling your virtual consultation. A $100.00 consultation fee will be collected to schedule your appointment, and this will be applied to any procedure you have at Mardirossian Facial Aesthetics.**