Virtual Consultation Form

Our Virtual Consultation Process

An in person, one-on-one consultation is always our preference. However, we understand that sometimes it isn’t always possible to make it to the office. Therefore, Dr Kim E. Koger is pleased to offer virtual consultations for our patients who need them.

After you have completed the online consultation request form below, we will contact you to schedule an appointment. Your Virtual Video Consultation will take place over Zoom which is available on your computer or through a free mobile phone app. After your appointment is made, we will email you with your appointment time and all the instructions so that you are ready to go the day of your appointment.

Convenient Care

A virtual consultation is very similar to an in-office consultation. Dr. Koger will go through most of the same steps as he would if you were here in the office. The virtual consultation process usually takes about 30-40 minutes. This is a great time for you to get to know Dr. Koger, gather information and thoroughly discuss the procedures you are interested in. This may be your first experience having a consultation, or perhaps you are seeking a second opinion or have a desire to correct a previous procedure, regardless, we are here for you!

Face-To-Face

A virtual consultation is a great first step but meeting face-to-face is still a crucial step before moving forward with surgery. If you decide to proceed with surgery, we will set up a time for you to come into the office for a formal exam and to coordinate all your surgery details.

First Name *
Last Name *
Age *
Gender
Weight
Height
Phone *
Email *
How would you like us to respond?
PhoneEmail
Areas of Concern & Procedures You are Considering: *
When are you hoping to have this procedure done? *
Is there an event that is motivating you?
Have you had cosmetic surgery before?
YesNo
If yes, please indicate surgical procedures
Describe what bothers you about your areas of concern: *
Where are you in your decision-making process? *
How did you hear about our office?
PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment. 1. Use a solid background. 2. Take one frontal photo with the face or body centered and looking straight. 3. Take at least one, preferably two profile photos 4. No facial expression 5. Hair pulled back File formats accepted: gif | png | jpg | jpeg File size limit: 3mb
Photo 1 *
Photo 2
Photo 3
Photo 4
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Virtual Consultation Form

Our Virtual Consultation Process

Convenient Care

Face-To-Face

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