Quick Consultation For Surgery | Seoul Cosmetic Surgery

Welcome to Seoul Cosmetic Surgery

Thank you for your interest in our services. This consultation form will help us understand your needs and provide you with the most accurate information.

The form takes approximately 3-5 minutes to complete. You can save your progress and return later if needed.

Your information is secure and will only be shared with our medical team.

Personal Details

First & Middle name (as appears on your passport)*

Last name (as appears on your passport)*

Email Address*

Phone (with country code)*

Preferred Messaging App*

Your ID or phone no. on selected messaging app*

Gender*

Male

Female

Other

Date of Birth (YYYY/MM/DD)*

Nationality (dropdown menu)*

City & Country of Residence*

Preferred Language

Medical Information

This information helps us provide accurate recommendations and ensure your safety.

Previous plastic surgeries (If any, when)?*

Any major medical history / allergies (medical/dairy/etc.)*

Medications Currently Used (If any)*

If Liposuction is your desired surgery, please additionally write height (cm) & weight (kg).

Travel Planning

Help us understand your travel plans to Korea

Visa and Flight Information

Do You Need A Visa?*

Yes

Have You Booked A Flight?*

Yes

Flight Information*

Arrival date in Korea*

Departure Date from Korea*

Accommodation and Tour

Do You Need Help Booking Accommodation?*

Yes

What Is Your Hotel Budget?*

Your Perfect Tour Program

When you come to Seoul, what tour would you be interested in (historical, Hallyu (K-pop/Kdrama) or shopping tour?

Consultation and Surgery Dates

Desired date/time of consultation*

Desired date of surgery/treatment*

Have You Contacted Clinics or Other Agencies ? If so, which ones?*

Pictures of Affected Area(s)

In Order To Get An Accurate Quote, it’s best to submit pictures if it is applicable. Please note that these pictures are solely for the purpose of consultation and to get a more accurate quote. (Each picture should show the whole face or body).

Frontal*

Max. file size: 64 MB.

45 Degree To The Left*

Max. file size: 64 MB.

Left Side*

Max. file size: 64 MB.

45 Degree To The Right*

Max. file size: 64 MB.

Right Side*

Max. file size: 64 MB.

Nostrils

Max. file size: 64 MB.

For Rhinoplasty, please cock your head up, showing nostrils

Affected Body Part

Max. file size: 64 MB.

Additional Comments

Final Details

Just a few more questions before we submit your consultation request.

How Did you Hear About Us?*

Influencer Name

Other

Additional Comments

Agreement

Agree

All Information Submitted Via This Form is For Private Use only. It is for the sole purpose of getting a quote for your surgery/treatment. We will not rent, sell or utilize your Information in any way to third parties other than our clinics. You will receive various emails from us regarding your treatments, recommendations, and accompanying prroducts. By Checking the Box and clicking Submit; you acknowledge this.