Virtual Consultation Form

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
How long have you been thinking about cosmetic surgery? *
On a scale of 1-10, how important is this surgery to you? *
What are your expectations & concerns of this procedure?
Where are you in your decision-making process?
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

File formats accepted: gif | png | jpg | jpeg
File size limit: 3mb
Photo 1
Photo 2
Photo 3
Photo 4
By checking this box you agree to the Terms of Use listed here *
Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agreeI Agree
SIGNATURE *
DATE (mm/dd/yyyy) *

Verification

Please enter any two digits *Example: 12
This box is for spam protection - please leave it blank:

Patient
Testimonials

I was tired of the lines on my face and my dull skin. My face had started to age and I was unhappy about that. I looked for a physician actually trained in the Vampire Facelift, and was lucky enough to have Dr. Kanwal Bawa do my procedure at her office. We did PRP with microneedling and Dr. Bawa also used Juvederm on my face and lips. There was no downtime! My husband and I attended an event the very next day. Everyone tells me that my skin glows. I could not be happier! I LOVE IT. I swear I look 10 years younger.
~Sheila S.~
I had a CO2 Fractional Resurfacing performed by Dr. Kanwal Bawa a few days ago, and it was a very positive experience. She is extremely professional and make her patients feel welcome and cared. This caring with her medical knowledge is the best combination. After my treatment, Dr. Bawa is always available to answers any questions I might have and is constantly checking on me. She and her staff have competence, empathy and respect. Exactly the service I was looking for! Thank you Dr. Bawa for providing an exceptional level of service and professionalism...
~Adma D.~
Dr Bawa preformed the vampire facelift on me & I saw immediate & continued results with no down time My face was plumper & more glow to it . Lifted the eye area & decreased crows feet. I will definitely do this service again.
~Sheila S.~
Bawa Medical is a fantastic new office that offers incredible skin and hair rejuvenation treatments. And uses the best products and equipment available in the industry today. The staff was friendly, caring and expertly trained in each treatment offered.
~Laura S.~
I had a vampire scalp treatment with PRFM at Bawa Medical. Dr. Bawa and her staff were incredible. They put me at ease and explained everything to me in simple terms. The medical assistant was an expert at the blood draw and Dr. Bawa was extremely skilled at the treatment itself. The office is pristine and beautiful. A pleasure. Thank you Dr. Bawa.
~Harbir B.~
Bawa Medical is a first class top of the line office for all things beautiful! Dr. Bawa made me feel like I was the only patient in the office and she gave me her full attention the entire time. I went in for a quick procedure and she did so great that I will be going back very soon! Her office is beautiful, clean and comfortable, her staff is inviting and very friendly. I would recommend Bawa Medical to anyone that is interested in looking and feeling younger and more beautiful from the inside out! Thank you again Dr. Bawa and I look forward to returning for more of your wonderful services!
~Faith H.~

Schedule Your Consultation
561-771-0388

Schedule Your Consultation
561-771-0388

Virtual Consultation Form

Verification

Patient
Testimonials

Contact us to schedule your consultation:

LOCATED AT:

Schedule Your Consultation 561-771-0388

Schedule Your Consultation 561-771-0388

Verification

Patient Testimonials

Follow Us

Like Us

WATCH Us

Follow Us

Contact us to schedule your consultation:

LOCATED AT:

Schedule Your Consultation
561-771-0388

Schedule Your Consultation
561-771-0388

Patient
Testimonials