Facial Procedure Consult Request Request a Consult for Facial ProceduresName*Phone#*Email*Procedure Interested In*DOT Therapy™ CO²Thread-Tox®ThermiTight™Preferred Date* Date Format: MM slash DD slash YYYY Preferred Time* : HH MM AMPM Questions or CommentsAll appointment requests are considered but not guaranteed. An aesthetician will contact you within 24 hrs. to confirm or find a time best suited to fit your and the physician's schedules.CaptchaPhoneThis field is for validation purposes and should be left unchanged.Any questions, call (801)295-1020 today!