Virtual Consultation

Virtual Consultations are the first step in the process

Your First Step Toward a Customized Surgical Plan

Dr. Eppley accepts patients from across the United States and over 60 countries worldwide. No matter where you live, a comprehensive Virtual Consultation allows you to discuss your goals and explore your options.

Virtual consultations are scheduled individually and are conducted securely via video conference.

To begin, please complete the brief consultation request form below. A member of our team will review your information and contact you to arrange a date and time for your consultation. You will then receive a secure link that can be accessed from your computer, tablet, or smartphone.

Whether you are exploring a procedure for the first time- or are ready to begin a custom implant design process, a consultation is the essential first step.

Your privacy is important to us. Personal contact and health information is kept confidential and will never be shared outside of our practice without your written consent.

To begin, please complete the brief consultation request form below. A member of our team will review your information and contact you to arrange a date and time for your consultation.

"*" indicates required fields

Name

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

Full Name*

Email*

US Phone Number

International Phone Number

Which procedures would you like to discuss?

New Patient or Existing Patient*

Question / Comment

Upload Your Photos

For the best photo quality, please follow the guidelines below:

Take photos in a well-lit area with ample natural or indoor lighting.
Capture three images from different angles/views (Front, Oblique, and Side Views).
Stand in front of a plain background, such as a wall or door.
Position yourself approximately 3–4 feet from the camera.
Center the area of concern within the frame whenever possible.

Upload: Front View

Max. file size: 4 MB.

Upload: (2) Oblique View

Max. file size: 4 MB.

Upload: (3) Side View

Max. file size: 4 MB.

Consent

I agree to receive SMS text messages from Eppley Plastic Surgery PC related to appointment reminders, scheduling updates, and responses to my inquiries. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out or HELP for assistance. Consent is not a condition of purchase. View our Privacy Policy and Terms & Conditions.