Advanced Body Sculpting Institute

If you have additional questions regarding the Advanced Body Sculpting Institute courses, please feel free to contact us at:

Advanced Body Sculpting Institute
9218 Kimmer Drive, Suite #107
Lone Tree, Colorado 80124
888-338-2737

Inquiry Form

PLEASE NOTE: CONTACT INFORMATION IS CONSIDERED CONFIDENTIAL INFORMATION SUBJECT TO OUR PRIVACY POLICY.

Please select the course(s) in which you are interested / available *

	VAHDL
	Introductory Abdominal Applications
	Full Body Applications
	Care of Body Sculpting Patient

Courses are available throughout the year. Please check the Courses page for dates.

Physician Name *

Practice Name *

Surgical Specialty *

Email Address *

Street, Apt./Suite*

City *

State/Province *

Zip/Postal Code, Country*

Daytime Phone (including area code) *

Best Day & Time to call

Alternate Phone

FAX

Do you currently perform lipoplasty? *

Yes No

Do you currently use the UAL Technology? *

Yes No

If yes to UAL, do you use VASER, Lysonics, or Other?

Yes No

Do you currently use LASER Lipolysis Technology?

Yes No

If yes to LASER Lipolysis, do you use SmartLipo or ProLipo or Other?

Yes No

What type of COURSE is of INTEREST to you? *
(e.g., Introductory, advanced applications including breast reductions, submental, superficial, business applications, other...)

Please describe below what you expect from our courses. Check all that apply: *

	I want to be ready to start performing lipoplasty after this course.
	I want to see live cases.
	I want to participate in roundtable discussions with my peers.
	I want to practice more superficial and / or advanced applications such as breast, neck and chin treatments.

Other (please provide details):

Additional Questions?

* Indicates required information