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We accept Visa, Master Card, American Express, Cash, Check. 
For other payment options please see: Fees and financing.

Patient consultation times:

Connecticut office: Monday, 2:00 p.m.- 5:30 p.m.; Wed., 9:00 a.m. -
12:30 p.m.  In special cases we can also accommodate consultations
on Friday mornings.

U.K. office: Sunday 9:00 a.m. - 4:30 p.m.;  and Friday 9: 00 a.m. -
5:00 p.m.

Please indicate in the last field below which dates and times you are
available for a consultation.  You may also use this form to request
information.

If your consultation is to discuss breast augmentation surgery,
please complete our breast augmentation questionnaire prior to
your appointment.  Please also print and complete the appropriate
patient consent forms and bring them with you to your consultation.

* = required fields


First Name: *
Last Name: *
Home Ph: *
Work Ph:
Address Line 1: *
Address Line 2:
City: *
State: *
Zip Code: *
Country: *
Email Address: *


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Please tell us how you want us to contact you.  Please hold the control key down while right-clicking to choose multiple selections.



Please tell us which procedure(s) you wish to discuss during your
consultation.  Please hold the control key down while right-clicking
to choose multiple procedures.


Please submit your request and click "Send Request".  If you have
a question about fees or your consultation please ask it below. 
Please indicate which days and dates you are available for a
consultation.  Only questions related to fees and consultations
can be answered from this form. 

We regret we cannot answer specific questions about your
medical condition or questions of a general nature related to
cosmetic breast surgery.