Please complete our online suitability assessment to determine if you are an appropriate candidate for a cosmetic surgical procedure.
Advantages of the online suitability assessment:
- No need to travel long distances for consultation
- Completely free
- You will be assessed directly by a surgeon
- Quick and hassle-free
The Online suitability assessment is a service offered to patients who may have difficulty travelling to us because of the long distances involved. It is designed to provide potential patients with general feedback and information in order to better decide whether to seek care and treatment at Centre for Surgery. The online suitability assessment consists of two parts: Online suitability questionnaire and an Online suitability consultation via Skype.
Please take time to fill out all questions on the form below carefully and completely. Please take special care in ensuring that photos you submit are of good quality and are made in accordance with the photo quality/size guidelines. Our surgeons will review the submissions and determine whether you are a suitable candidate for treatment. If you are a suitable candidate for treatment based on the information provided, you will be scheduled for an online Skype consultation directly with a surgeon. All suitable prospective patients will be followed up with a face-to face consultation.
The online suitability questionnaire and online suitability consultation is a service offered to patients for maximum convenience. It is designed to provide potential patients with general feedback and information in order to better decide whether to seek care at Centre for Surgery. The response we provide is based solely on our interpretation of the limited data provided and should not be viewed as comprehensive, definitive or final.
The Online Preliminary Consultation form is not intended to replace or serve as a substitute for a medical examination and consultation with a surgeon at Centre for Surgery
Use of the Online Suitability Assessment (online questionnaire and online consultation) does not constitute the establishment of a doctor-patient relationship between the surgeon and the service user.
Any information sent via the preliminary online suitability questionnaire forms is secure and treated in the strictest confidence. However, we cannot guarantee the security of information transmitted electronically. If you have concerns regarding this possible breach of privacy, please contact us by alternative means.
Please follow these instructions:
Use a good quality digital camera. Do not use cameras on mobile phones. Use the camera’s normal or zoom lens (not wide angle as this may cause distortion).
Image should be sharp and in-focus, showing close-up views. Expression should be natural and relaxed, without smiling. Lighting should be even and without strong shadows. Use a plain background
Keep the camera level with the area photographed. (Do not photograph upwards or downwards).
Photo 1: Straight-on front view
Photo 2 and 3: 45-degree side-view, right and left
Photo 4 and 5: 90-degree profile-view, right and left
Images larger than 2 MB may not transmit. Cropping out extraneous detail or downsizing the image should prevent this problem.