Fieldset

First Name *
Last Name *
Age *
Phone *
Email *
How would you like us to respond?
PhoneEmail
Areas of Concern & Procedures You are Considering:
PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.
1. Use a solid background.
2. Take one frontal photo with the face or body centered and looking straight.
3. Take at least one, preferably two profile photos

File formats accepted: gif | png | jpg | jpeg
File size limit: 3mb
Photo 1 *
Photo 2
Photo 3
Photo 4
By checking this box you agree to the Terms of Use listed here *
I Agree
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

A consultation fee will be collected when the consultation is scheduled. This fee will be applied to the cost of any service that you may have with us.
SIGNATURE *
DATE (mm/dd/yyyy) *

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Kelly Gribeluk

22:40 30 Sep 23

Dr Ryan is the best!!

Jojo Finno

22:09 29 Sep 23

Jill Rothe

13:59 29 Sep 23

I have always had a good experience. Anytime that I had any concerns they were always addressed in the most professional manner. The office is also very beautiful in Poughkeepsie. The staff is extremely friendly and professional and I would definitely recommend.

debbie napoli

21:10 22 Sep 23

Love Ryan Young and the entire staff. I truly have had the best results since becoming a client at this beautiful medispa.

Millie Hinck

19:04 21 Sep 23

Excellent staff and beautiful atmosphere.

Schedule a Consultation

Fieldset

Verification

nyfacemd