Virtual Consultation

At McCormack Plastic Surgery, we frequently treat patients from out of town. For your convenience, we have created the form below which allows you to submit information about your surgical goals and photographs of yourself for Dr. McCormack to review. If you have questions about arranging a virtual consultation with Dr. McCormack please call our office at (775) 284-2020.

Your Full Name(required)
Age(required)
Gender
Email(valid email required)
Day Phone
Height
Weight
Measurements
Areas of Concern
What type of results are you hoping to achieve?
More Athletic Healthier
Younger Cosmetic Correction
Other notes:
When are you hoping to have this procedure done?
Is there an event that is motivating you?
Have you had cosmetic surgery before?
Yes No
If yes, please indicate surgical procedures:
How would you like us to reply?
Email Phone
If you have some photos of yourself that you would like to share, please use the upload button below to upload photos to send to us: To make the most out of your virtual consultation, do your best to submit your photographs in the following format. This will allow Dr. McCormack to make the most comprehensive assessment.
1. 1. Use a solid background.
2. 2. Take one frontal photo with the face or body centered and looking straight.
3. 3. Take at least one, preferably two profile photos.
Photo 1:
Photo 2:
Photo 3:
Photo 4:
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To ensure secure communication, please type in the verification code
Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold McCormack Plastic Surgery, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.

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