Treatments - ECK Laser

Patient Information

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TREATMENT SELECTION - PICK INDIVIDUAL AREAS OR PACKAGE

Please check all individual areas or package you are interested in. Final treatment plan and laser settings are determined by clinical assessment.

FaceF1 EyebrowsF2 Upper lipF3 ChinF4 EarsF5 CheeksF6 ForeheadF7 SideburnsF8 Full face

BodyB1 ChestB2 ShouldersB3 Full backB4 Upper backB5 Lower backB6 Neck frontB7 Neck backB8 AreolaB9 AbdomenB10 Full body

ArmsA1 UnderarmsA2 Full armsA3 Upper armsA4 Lower armsA5 Hands/fingers

Bikini & IntimateK1 Bikini lineK2 Brazilian modifiedK3 Brazilian fullK4 ButtocksK5 Happy trail

LegsL1 ThighsL2 Lower legsL3 Feet/toesL4 Full legs

PackagesWinter Package
Full legs (L4); Underarms (A1)Spring Package
Full legs (L4); Full armsSummer Package
Full legs (L4); Full arms (A2); Underarms (A1); Brazilian (K2)Fall Package
Full legs (L4); Brazilian (K2); Underarms (A1); Face (F8)All Season Package
Face (F8); Full legs (L4); Underarms (A1); Full arms (A2); Brazilian (K2)

Other area(s), concerns, or package notes

Please select a treatment area to submit the form

What areas can we help you with?

Select 1 or more areas from the dropdown

FaceChoose all the sections you are interested in treatingF1 - EyebrowsF2 - Upper LipF3 - ChinF4 - EarsF5 - Cheeks (for men, this includes line-up of the beard)F6 - ForeheadF7 - SideburnsF8 - Full Face

BodyChoose all the sections you are interested in treatingB1 - ChestB2 - ShouldersB3 - Full BackB4 - Upper BackB5 - Lower BackB6 - Neck (Front)B7 - Neck (Back)B8 - AreolaB9 - AbdomenB10 - Full Body

ArmsChoose all the sections you are interested in treatingA1 - ArmipitsA2 - Full ArmsA3 - Upper ArmsA4 - Lower ArmsA5 - Hands & Fingers

Bikini & IntimateChoose all the sections you are interested in treatingK1 - Bikini LineK2 - Brazilian ModifiedK3 - Brazilian FullK4 - ButtocksK5 - Happy Trail

LegsChoose all the sections you are interested in treatingL1 - ThighsL2 - Lower LegsL3 - Feet & ToesL4 - Full Legs

How many times have you had treatments?01-23-45-67-89+

What age group are you in?<1818-2425-3435-4444-5455-6465+Prefer not to specify

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ECK Laser requires a live consultation to help ensure that the treatments you select are right for you. We may contact you by call, text, and/or email to schedule your consultation, for other transactional purposes (e.g., appointment reminders, receipts, financial information, and treatment-specific information), and for marketing purposes. If you would prefer to initiate a call to schedule your live consultation, please call us at (316) 500-6008.

By providing your information in the previous screens and clicking the SUBMIT button below, you agree to receive such emails, as well as such recurring calls and texts, which may be made using an automatic telephone dialing system and/or an artificial or prerecorded voice. Agreement not required as a condition of purchase. Texts may be sent using SMS, MMS, or RCS technology. Text STOP to stop; HELP for help. Message frequency varies. Message and data rates may apply.

Address:	9300 E 29th St N, Suite 204 Wichita, KS 67226
Call or Text:	(316) 500-6008
E-mail:	[email protected]