Virtual Consultation at XSCULPT

Let's get started on your virtual consultation.

We offer easy and convenient virtual consultations within the comfort of your own home.

The virtual consultation allows you to share information with our doctors before you fly or make the drive into the Chicago area for non-surgical treatments or cosmetic surgery.

Due to the high demand of consultation requests, we ask that you provide all required information so our team can efficiently process all submissions. To request a consultation appointment and evaluation, please submit your information and photos below.

*3-6 Photos are required to receive a complimentary evaluation for surgical procedures. Please see below for the angles the doctor will need for your evaluation.
Once you submit your consultation request, the information is provided to the doctor to evaluate your request. Please allow 3-5 business days for your request to be processed and reviewed. If you have any questions, please contact our office and we will be happy to assist you.
If you are a good candidate, a consultation coordinator will reach out to you via email and/or phone call to schedule your virtual consultation.
A quote will be provided and you will be able to discuss potential surgical dates and next steps to prepare you for your upcoming surgery!

If you do not receive a response within 3-5 business days, please check your SPAM folder or contact our team at info@xsculpt.com or call us at 1-833-972-8578 during business hours and we’d be happy to assist you!

Xsculpt consultation photos - virtual consultation

Name(Required)

Email(Required)

Phone(Required)

What procedure are you interested in?(Required)

Doctor Preference(Required)

How soon are you looking to get your procedure done?(Required)

How Did You Hear About Us?(Required)

Please tell us how you found us!

Weight(Required)

Height(Required)

Date of Birth

MM/DD/YYYY

Occupation(Required)

What state do you live in?(Required)

Do You Smoke?(Required)

Yes

Any medical conditions or allergies?(Required)

Are you on any medication?(Required)

Have you ever had any previous surgeries or hospitalizations? If so, please provide brief details with approximate dates.(Required)

Questions and/or desired goals of treatment.(Required)

ATTACH YOUR PHOTOS - This is required for both in-person & virtual consultation requests. Medical services do not need photos.

INSTRUCTIONS: Attach a minimum of 3 or more photos (front, back, side views) FULL BODY for body contouring procedures. Ensure you are not wearing anything that will obstruct the areas you would like to be evaluated.

Drop files here or

Accepted file types: jpeg, jpg, pdf, png, Max. file size: 50 MB, Max. files: 10.

Opt-in For Discount Offers

Yes

Yes I want to receive special discount offers from XSculpt

Opt-in For Text Messages(Required)

Yes

I would like to receive promotional text messages and agree to the Terms of Service & Privacy Policy. 2 Msgs/Month. Reply STOP to cancel, HELP for help. Msg & data rates may apply.

Please answer this question to help prevent SPAM: 9+3=?(Required)

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Name

This field is for validation purposes and should be left unchanged.

What to expect during your virtual consultation

What to expect during your virtual trt consultation for men.

Confidentiality of Medical Information and Photos – We take privacy very seriously. Any medical information and photos shared with XSculpt are confidential and are part of your medical record. All employees are trained and comply with government rules and regulations regarding the Health Insurance Portability and Accountability Act (HIPAA) with a particular emphasis on the “Privacy Rules”. We strive to achieve the very highest standards of ethics and integrity in performing services for our patients.