International Patient Medical Record

We are excited to start working on the best version of yourself

Thank you for choosing us to build together the image you’ve always dreamed

Step 1

Calculate your Body Mass Index and save the result.

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Step 2

Please fill out the form, let’s start working on the best version of yourself.

The purpose of this questionnaire is to find out the best way to help you reach your expected results.
This form is protected by Doctorpatient confidentiality, so please answer as truthfully and accurately as possible.