After you fill out the form, please text ready to book consult to 770-649-0094 or CLICK HERE AND BOOK YOUR consult
Name
Address
Have you been through menopause?
Have you had a hysterectomy?
If you have had a hysterectomy, do you still have your ovaries?
If you are postmenopausal, are you on hormone replacement?
Have you had any surgeries?
Please check off any if you have any of these medical conditions
Are you on any medications?
Do you have any drug allergies?
The O shot uses PRP injections to improve Intimate Wellness for women. It can help with dryness, leaking and orgasm. The Vampire winglift uses filler combined with PRP for injecting the labia majora. What are you wanting to see improve?
If you have bladder leaking, please check off if true for you,
Is sex less enjoyable now?
Was there a time when sex was more enjoyable?
Are you having issues with achieving orgasm?
Has your libido changed?
Have you had your testosterone level checked?
Have you had any surgeries?
Have you had a GYN exam and Pap smear in the past year?
Do you have any children?
If yes, did you have any difficult deliveries or larger babies?
Did you have any bad tears with vaginal deliveries
Do you want to set up your complimentary Virtual Consultation
We want to make the most of your time and the doctors'. Have your read the site and learned about the procedures and the Pricing options?
Can we text you?
Thanks for your interest in the O shot or Vampire Winglift. Please choose below and text us at 770-649-0094 with your next step.
=

← Back to home page of website