New Form Page 1 of 4Please selectMaleFemaleGenderHow would you like us to respond?PhoneEmailBothNextAreas of Concern & Procedures You are Considering:When are you hoping to have this procedure done?Is there an event that is motivating you?Have you had cosmetic surgery before?YesNoPlease indicate surgical procedures*BackNextHow long have you been thinking about cosmetic surgery?*On a scale of 1-10, how important is this surgery to you?*What are your expectations & concerns of this procedure?*Where are you in your decision-making process? *BackNextHow were you referred to Dr.Craft? (Please check all that apply)Please selectFriendAnother DoctorYou have been a patient of oursRadioTVOur websiteYouTubeFacebookInstagramSnapChatWeb search/GoogleOtherPlease upload photos to send to us*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 body centered and looking straight. 3. Take at least one, preferably two profile photos.By checking this box you agree to the Terms of Use*I AgreeCommunications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agreeToday's Date: 11/13/2024BackSendThis field should be left blank