The next step is for your information to be reviewed by your surgeon. This review process may take up to 30 days to complete. If we require any additional information, one of our coordinators will contact you.
Please stay tuned for further updates.
Consent of Communication
**By checking this box and submitting this form, I consent by electronic signature to be contacted by Mia Aesthetics by live agent, email & automatic telephone dialer for information, offers or advertisements via email/ phone call/ text message at the number & email provided. I consent to call recording of all phone calls to and with Mia Aesthetics. I am not required to sign this document as a condition to purchase any goods or services. I understand that I can revoke this consent at any time by providing notice to Mia Aesthetics. Message data rates may apply. Message frequency may vary. To learn more, see our Privacy Policy, SMS Terms and Conditions, and Terms of Use.
