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Avenue Health, 202 Bealey Avenue, Christchurch 8013, New Zealand
03 379 9467
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Book a consultation with KM Surgical
Please use the form below or call reception on 03 379 9467 to make the appointment.
Fields marked with an * are required.
Your first name *
Your last name *
Your e-mail *
Confirm e-mail *
Your phone number *
Are you an existing patient?
Please select
Yes
No
Your date of birth *
Please select a procedure or treatment to enquire about *
Botox®/Dysport® Anti-wrinkle Injections
BBL (BroadBand Light)
Dermal Fillers
Alma Hybrid™ Laser
Dermatology
Excel V™ 1064nm Laser - Leg Veins & Blue Veins
Excel V™ Genesis™ Laser - Facial
Excel V™ KTP 532nm Laser - Vascular and red veins
Eyelid Surgery (Blepharoplasty)
Purasomes - exosomes
Face Lift- MACS
Fat Transfer (Grafting)
Fractional Laser (ACTIVE FX™, DEEP FX™ & SCAAR FX™)
IPL Photo Rejuvenation Stellar M22™
Juvelook
LED Lightwave™ - Blue, Red and Infrared Light
Lipoedema
Liposuction (Liposculpture) Body & Facial Contouring
MOXI™
Micropigmentation with Angela Millar
Mohs Surgery
Mole & Lesion Management
Mole & Skin Check
Medical Micro needling with SkinPen® by Bellus Medical or EXCEED
OBSERV 520
PDO Mono Threads
Plasma Pen
Profhilo®
Phi Cosmeceutical
Peels
Radiesse®
Laser Hair Removal-Lumenis Splendor X
Sculptra®
Structura
Suction Curettage for Underarm Sweating (Hyperhidrosis)
Sunekos®
SECRET RF
Tattoo & Pigmentation Removal PiQo4
Ultraformer III
VASER Lipo™ Microaire™
Vbeam™ Perfecta Pulsed Dye Vascular Laser
Viscoderm Hydrobooster
Jalupro® – Skin Hydration and Rejuvenation
INNO-CE® | MOIST 1.5
INNO-CE® | BI-DENS 2.5
Endolift X®
Choose a provider from the list below, or select 'Unsure' *
Please select
Dr Ken Macdonald (cosmetic and skin cancer checks only)
Dr Tom Middelburg (existing patients only or GP referral)
Adele, Nurse (Mondayto Friday)
Kirsty, Nurse (Tuesday to Friday)
Louise, Dermal Therapist (Monday to Friday)
Amanda, Nurse (Thursday and Friday)
Angela, Nurse (micropigmentation only)
Sara, Nurse (Tuesday 3-5pm and Friday 3-5pm for Botox/Dysport only)
Unsure
Preferred consultation day *
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Monday
Tuesday
Wednesday
Thursday
Friday
Preferred consultation time *
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Morning
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Where did you hear about us? *
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Surgical Dermatology
Surgical Cosmetic Dermatology
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03 379 9467
0800 LIPO 4 U
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