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Patient Resources

Aesthetica Cosmetic Surgery and Laser Center

Our staff looks forward to meeting you and discussing your goals. We strive to keep our appointments on time as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so you can accelerate your check-in process. Please download, print, and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms or submit them electronically here, then it is recommended that you arrive at your appointment 15 – 30 minutes early so you can have ample time to fill out the appropriate forms.

How We Do Consultations During a Pandemic

Zoom Video allows an easy interface for our patients who are in other states or countries… and now for Covid it is the safest and healthiest way for us to consult with our patients.

Virtual consultations using Zoom Video is available for prospective cosmetic surgery and skin care patients. Easy to use and we work hard to make sure you feel heard and understood.

Virtual follow-up visits are available for postoperative patients as well as for patients that need a hand to hold. We can all still social distance but you feel secure knowing we are there to help.

You can purchase skin care and surgical products through our MedHealth 360 store.

Zoom Video
How Does It Work

Zoom Video can be downloaded onto your computer, apple, or android phone from their app stores. Create a free account using your regular email address and we can send a calendar invite and zoom link.

Virtual Consultations and Telemedicine
How Does It Work

Telemedicine with Zoom allows us to see our patients from other states and all over the world. Start by submitting the reason for your consult and we will reach out to you as soon as possible.  

What Can We Discuss
Surgeon and Nurses provide expertise
  • New Consultations
  • Discuss Results
  • Follow-up Consultations (after surgery too)
  • View Dermatology issues
Virtual Purchases
On-line shopping for your skin care needs

Our cosmetic nurses are available to discuss some questions and concerns about our on-line shop items and skin care concerns. Our on-line shop is easy to use and safe to purchase from.

Tele-Medicine Request Form

Patient Intake Form

Please fill out completely. Provide your name and any relevant medical information below.  If you are reaching out after normal office hours, we will get back to you as soon as we can the next day.

Emergency Contact Information:

Medical History

Previous Surgeries

Please check all the procedures about which you would like to receive more information from our staff:

Patient Information

Please fill out completely. Provide your name and any relevant medical information below.  If you are reaching out after normal office hours, we will get back to you as soon as we can the next day.

Emergency Contact Information:

Medical History

Previous Surgeries

Please check all the procedures about which you would like to receive more information from our staff:

Wellness Screening

Total

0-40: Fairly healthy; 40-60: Some hormonal imbalance is likely; 60 or more: Deficiency is probable

Top 5 Main Concerns:

I hereby consent to Dr Chang or his office staff to draw my blood for testing. I understand that blood draw may lead to bruising, swelling, discomfort, bleeding at the site of blood draw. Results from my lab work will be reviewed over the phone or may be left on voicemail.

19500 Sandridge Way, Suite 350 • Lansdowne, VA 20176 • Phone 703-729-5553 • Fax 703-729-1694 • www.gotobeauty.com

Virtual Consultations

Virtual Consultations are available to our patients from far away states and other countries and now close by too.

Tele-Medicine Request Form

Virtual Consultations

Provide your name and any relevant medical information below.  If you are reaching out after normal office hours, we will get back to you as soon as we can the next day.

Patient Questionnaire

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