GET STARTED ON YOUR VIRTUAL ONLINE CONSULTATION

Due to the high demand of virtual online consultation requests, we kindly ask that you provide all required information with photos so our team can efficiently process all submissions and schedule your appointment. We understand that choosing to undergo a procedure is a big decision, and we want to provide you with all the support you need. Our dedicated staff is ready to guide you through the process, address any concerns, and provide the highest level of care.

All virtual consultations require photos to schedule. Your photos are reviewed by the surgeon for an initial evaluation. Please see the photo guidelines below to ensure your submission is expedited. If you are interested for an in-person consultation, please call our office 312-846-1529 or submit your request here. If you're interested in our med spa services, no photos are needed. You can give us a call directly at 312-846-1529 to schedule your appointment.
Once you submit your consultation request, the information is provided to the doctor for review. Please allow 3 - 7 business days for us to process review and process your request. You may check on the status of your request at any time by emailing [email protected]
If you meet the criteria and are a good candidate, one of our patient coordinators will get in touch with you via email and phone call to schedule your evaluation. (Please refer to screening guidelines below for more information about how your surgeon will evaluate your request).
During your evaluation, we will provide you with a quote for your procedure, potential surgical dates, financing options, and the next steps to prepare for your upcoming procedure.

Virtual consultation guide for plastic surgery

Check Your Body Mass Index (BMI)

Your weight*: POUNDS

Your height*: FEET INCHES

18.5 OR BELOW UNDERWEIGHT

18.5 TO 24.9 NORMAL

25 TO 29.9 OVERWEIGHT

30 OR MORE OBESE

VIRTUAL ONLINE CONSULTATION FORM

Name(Required)

Email(Required)

Phone(Required)

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

How did you hear about us?(Required)

Weight(Required)

Height(Required)

Please Select a Procedure(Required)

Select a category first, then the procedure of interest

Doctor or Provider Preference(Required)

Occupation(Required)

What state do you live in?(Required)

Date of Birth(Required)

MM/DD/YYYY

Do you smoke?(Required)

Any medical conditions or allergies?(Required)

Are you on any medication? Please list.(Required)

Any previous cosmetic surgeries? If so, please list with approximate dates.(Required)

Number of full-term pregnancies? What was the date of your last delivery? If none, list N/A.(Required)

Any previous non-cosmetic surgeries or hospitalizations? If yes, please describe with approximate dates.(Required)

Desired procedure & goals of treatment.(Required)

ATTACH YOUR PHOTOS - This is required for both in-person & virtual consultation requests. Medspa requests do not require photos.

Drop files here or

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

INSTRUCTIONS: Attach a minimum of 3 or more photos (front, back, side views) FULL BODY for body contouring procedures. Ensure there is good lighting and taken from multiple angles in a bikini or undergarments. Ensure you are not wearing anything that will obstruct the areas you would like to be evaluated.

Opt-in For Discount Offers

I want to receive special discount offers from Chicago Breast & Body

Yes

Opt-in For Text Messages(Required)

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.

Yes

TERMS & CONDITIONS
Chicago Breast & Body Aesthetics Patient Care Coordinators will review the information you submitted and will respond to your inquiry. If you are a good surgical candidate, you will receive an estimated quote and next available consultation openings. Your final quote and surgical plan will be determined during a formal consultation with your surgeon.
*Please note that restrictions apply for virtual consultations, as certain procedures or requests can only be evaluated in-person and are only offered with certain providers.

Chicago Breast & Body Aesthetics consultation form is protected and encrypted. The data you send will be securely transmitted to our office through the use of an encrypted email. However, it is important to remember that all data transmitted electronically will carry risks.

Chicago Breast & Body Aesthetics, its employees, and any affiliated third parties will not be held responsible in the event that the personal information submitted on this consultation form is illegally compromised through a hack on our servers. All your personal information is confidentially kept and will not be distributed to any parties or organizations outside of our office.