Request a Consultation

Request your skincare consultation to discuss your skin concerns and goals. Burlington Medi Spa is open Tuesday – Saturday by APPOINTMENT only.  Please don’t wear any perfume to your appointment as this is a scent free office.  All consultations require a $50. + tax fee which will go towards treatment or a product.  If you don’t show up for your scheduled consultation, this fee is non-refundable.  Burlington Medi Spa will be closed for Christmas holidays from December 24 – January 2.  All requests will be contacted on January 3.  Merry Christmas!

    * First Name:

    * Last Name:

    Address:

    City:

    Province:

    Postal Code:

    Home Phone:

    Cell Phone:

    Business Phone:

    * Email:

    * Best Time to Call:

    * Age:

    * Concerned About:
    * When would you like to have a consultation:
    * How would you like me to contact you?
    captcha
    Please enter the characters above: