Maxtuck - Book A Consultation | Precision Medical Specialists

PRE-CONSULTATION FORM

Instagram

This field is for validation purposes and should be left unchanged.

First Name(Required)

Last Name(Required)

Your Email(Required)

Enter Email Confirm Email

Your Phone(Required)

Best time to call(Required)

Gender(Required)

Weight (lbs)(Required)

Height (ft)(Required)

Height (in)(Required)

This field is hidden when viewing the form

BMI (auto calculated)

Please note that if your BMI (calculated above) is greater than 33, we will be unable to welcome you into our practice due to medical safety requirements.

Do you Smoke/Vape? (For example: vape, gummies, tobacco)(Required)

Procedure you are interested in(Required)

We invite prospective patients to reach out via call or text with any questions. Inquiries and request for general information are free of charge. I am aware formal consultations with Dr. Rueda are $250.(Required)

MaxTuck prices INCLUDE liposuction, a structured recovery program that includes 4 days of dedicated nursing care (6 hours per day) and 4 post-surgical lymphatic massage sessions. I understand the average investment towards surgery is $18.000-22.000(Required)

(for Maxtuck™ patients only)

Secure Picture Portal

We invite you to upload your photos using the secure form linked below. Please review the instructions carefully to ensure your photos are uploaded successfully.

Upload Your Photos Here