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Phone
+82 10 2996 6373
TIMELESS BEAUTY &
TRUSTED CARE
VIP Customized Plastic Surgery Tour with Korea Medi-Glam
FREE CONSULTATION
KOREA MEDI-GLAM
ABOUT
Who We Are
Why Choose Us
PORCEDURES
Facial Procedures
Body Contouring
Breast Augmentation
Hair Transplant
Skin Treatment
Vision Correction
GUIDANCE
Prior to Visiting Korea
Online Payment & Reservation
After Arrival
VAT Refund
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Personal Information
First Name
Last Name
Date of Birth
Gender
Nationality
Country of Residence
Country Code
Phone Number
Email
Your Concern
Medical & Treatment History
Have you had any previous surgeries? (If none, write "None"). Ex. Date (YYYY/MM) - procedure & details
Have you had any non-surgical treatments (ex. filler, botox, threads) ? (If none, write "None"). Ex. Date (YYYY/MM) - treatment & details
Medical History: (If none, write "None"). Ex. Condition - Date of Diagnosis (YYYY/MM) - Symptoms
Current Medications: (If none, write "None"). Ex. Start date (YYYY/MM) - Medication name - Dosage - Frequency - Purpose
Desired Procedure
Your Major Concern & What you Don't Like About it
Describe the results you’d like to achieve
Contact Preferences
Preferred Contact Method
WhatsApp
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Email
KakaoTalk
Other
Estimated Budget (Optional but helpful ): USD / KRW
Health Conditions Check
Do you have or ever had any of the following? (Check if applicable)
Hypertension
Heart disease
Diabetes
Hormonal disorder
Autoimmune disease
HIV
Other (please specify)
Are you currently undergoing any medical treatment? If yes, specify
Estimated dates for your trip to Korea: If already booked, please provide details
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