Get Started

Please complete the form below to schedule your consultation. Thank you!

Get Started.

Complete the form to schedule your consultation.

Please allow 48 hours for an emailed response.

Looking forward to meeting you.

Name

First Name

Last Name

Phone

(###)

###

####

How did you hear about Dr. Denk?

What procedure are you interested in

When are you planning to have surgery?

This may include 1-2 weeks off work for recovery.

Age

Height

Weight

BMI OF 30 OR LESS IS REQUIRED FOR CONSULTATION

Do you have any health conditions or issues? (i.e. high blood pressure, anemia, diabetes...)

Please also list current medications

How many days/week do you excercise?

Do you smoke/vape nicotine?

Yes

Have you had any previous surgeries?

Yes

If so, what and when?

Do you have any children?

Yes

If so, how many and how old is the youngest?

Please include front, side, and back view photos with all Abdominoplasty, Liposuction, BBL and Body Contouring submissions.

FileField; MaxSize= 2000000 kB; Multiple; addText=Upload_Photos;