We understand that each person is unique

, if you want an evaluation or consultation for treatment now, just fill out the following form.

One of our medical assistants will contact you within 48 hours to offer you a time slot adapted to your schedule.

Last Name*
First Name*
Your e-mail*
Phone*
In which center do I want a specialist consultation*:
Particular treatment that you would like to get information about:
Comment, date, desired time slot:



The information collected from this form is necessary for your request management.
The communication of your personal data via this form is consent to the processing of your data. In accordance with the law, you have the possibility to withdraw your consent, access to your data, oppose its processing, modify it or delete it at any time by sending us an email to the following address:info@alfa-laser.center