Consultation

An hour with the surgeon.

Examination, imaging where relevant, a candid conversation about candidacy, and a written quote. With Dr. Vale — not a coordinator.

$150

Credited in full toward your procedure. If the honest answer is "not yet," the credit waits with us.

1400 Bayside Drive, Suite 300, Newport Beach
Mon–Fri 8:30–5:00 · (949) 555-0180

Concept note: in a live build this form connects to your practice management system — Nextech, Symplast, or PatientNow — with two-way sync.

Full name

Phone

Procedure interest

Preferred time

Our surgical coordinator confirms by phone within one business day.

Thank you, {{ firstName }}.

Your request is in. Our surgical coordinator will call to confirm a time within one business day — and to answer anything you'd rather ask before you arrive.

While you wait: walk through your surgical journey or run the readiness checklist.