Patient Registration

Note: medical doctors and nurses are not permitted as patient models at our courses due to the fact that we are teaching highly valuable information. Medical doctors and nurses are required to register as course attendees to receive the proper training.

    If you would like to register for botox and filler, please select both. The exact treatment time and location will be confirmed after registration is complete.
    Please select all that apply.
    Please select all that apply.
    Our course is often taught out of a university classroom or conference centre.
  • Please avoid getting botox treatments within 4 months of the course treatment date.
    Please note that you cannot receive neuromodulator or filler treatments if you are pregnant, breastfeeding or trying to conceive
    $100 deposit will be processed upon patient registration. The deposit will be applied towards the balance of your treatment. A receipt will be emailed to you after the deposit has been processed. Any changes or modifications can be made within 24 hours of registration at no cost. After 24 hours, the deposit is non-refundable. If you are registering for the botox and filler treatments, please note that they will be processed separately and a $100 deposit will be taken for each course.
  • 3 digit number on the back of the credit card