Contact Form – drpatriciapanama.com

📅 Schedule your evaluation with Dr. Patricia Panama

💰 Consultation Cost: $100 USD
🌐 Evaluation Types: In-person, Video call, or Photo Evaluation in WhatsApp
🕒 Duration: 30 minutes

Name and Surname

Telephone number or WhatsApp

E-mail

Please repeat your number to make sure it's correct 🙂

What would you like to improve about your body? (What procedures are you interested in?)

Have you had any previous surgical procedures?

When would you like to have surgery?

1 to 3 months 4 months or more ahead In the future / I don't know

Have you received any quotes from us or other doctors in the United States, Canada, or Mexico?

Where are you writing to us from?

What type of evaluation would you like to receive?

In-person appointment with Dr. Panamá (100 USD) Virtual appointment with Dr. Panamá (100 USD, video call) Photo evaluation via WhatsApp (No cost) (This option only for International Patients) Photos of both profiles and fronts at a 90°-degree angle

I have read and agree that the cost of a personalized evaluation with Dr. Panamá is $100usd.

I declare that I understand and accept that Dr. Panamá and her team cannot provide a quote for the cost of the surgery without first conducting a personalized medical evaluation.

📅 Schedule your evaluation with Dr. Patricia Panama

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