Please fill out the Following Fields to confirm your Treatment at Dream Body Clinic. Our Scheduling Manager will use this information to schedule your treatments and schedule our driver for airport and clinic transportation.
We also need to know what Treatment or Medication you will be taking. Please select from the following options. If you don't see what you are requesting then the final field allows you to type in what you want. There is a separate section for more patients. Meaning that if other people are coming with you then they each need their treatments selected also. Thanks.
1st PATIENT TREATMENT FORM BELOW:
2nd PATIENT TREATMENT FORM BELOW: (If no 2nd patient then leave blank)
3rd PATIENT TREATMENT FORM BELOW: (If no 3rd patient then leave blank)
4th PATIENT TREATMENT FORM BELOW: (If no 4th patient then leave blank)
Thank you for filling out this form. We will email you a schedule within the next few days.