Photo Submission Consultation

Conveniently Located to Serve Houston, Katy, and The Woodlands.

Get your consultation onyour schedule, anytime, from anywhere!

We understand how busy life can get, and taking time off work to visit Dr. Rodriguez in person might not always be feasible. That’s why we’ve created a convenient and flexible way for you to get the same great information without the hassle—introducing our Photo Submission Consultation!

Our online photo submission consultation allows you to receive answers to your essential questions without disrupting your busy schedule. Wondering if you’re a candidate for surgery or curious about the costs? We’ve got you covered!

How it Works:

1

Submit Your Form

Fill out the form below and answer all the questions to the best of your ability.

2

Convenience Fee

You will receive a link or a phone call to pay the $100 convenience fee required. This fee will be applied to your surgery if you choose to move forward.

3

Set Up Your Account

You will receive an email with two documents that provide a step-by-step guide on creating your account on Nextech, our HIPAA-compliant electronic medical record system, and how to upload your photos.

4

Upload Your Photos

Once your account is created and your photos are uploaded, just sit back and wait!

5

Review and Quote

Dr. Rodriguez will review your information and photos. Your candidacy for surgery, a tentative surgical plan, and a quote will be sent straight to your email.

6

Schedule Your Surgery

If you are ready to move forward with surgery, our patient care coordinator will help schedule your in-person consultation and consent appointment for surgery.

It’s that simple! Save yourself the drive and get all your questions answered from the comfort of your own home. Experience the convenience of our Photo Submission Consultation today!

Personal Information

Name(Required)
MM slash DD slash YYYY
Sex(Required)
Address(Required)

Medical History

Taking any medication?(Required)
Have you had cosmetic surgery before?

Procedures

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