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Appointment Form

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Slots are confirmed by our team within 24 hours. Walk-ins also welcome at Sector 16, Chandigarh.

Full Name *

Age

Phone Number *

Email Address *

Service / Treatment * — Select a service — General Dermatology Consultation Acne Treatment Pigmentation & Melasma Treatment Hair Loss / PRP Therapy Laser Hair Removal Q-Switched Laser (Tan / Pigment) Carbon Laser Facial Chemical Peels Microneedling / Dermapen Morpheus8 Skin Tightening Botox / Anti-Wrinkle Dermal Fillers Lip Augmentation Hydrafacial / Medifacial Mole / Wart / Tag Removal Other (please specify in notes)

Preferred Date *

Preferred Time Slot * — Select a slot — 10:00 AM - 11:00 AM 11:00 AM - 12:00 PM 12:00 PM - 1:00 PM 2:00 PM - 3:00 PM 3:00 PM - 4:00 PM 4:00 PM - 5:00 PM 5:00 PM - 6:00 PM 6:00 PM - 7:00 PM

Additional Notes (optional)

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