Send Email to Practice
Innovations Medical
by Bill J. Johnson, MD
For Assistance, Call Us Toll Free: 866-705-7286

By submitting this form, you will be emailed (to the email account you provide below) a certificate for a Free Screening at a participating facility. Once you receive the Free Screening Certificate via email, please print it out and present it to the clinic to be redeemed. You can also call Innovations Medical at 866-705-7286 and mention to schedule your Free Screening. Please note that the Certificate is not to be used in combination with other promotional discounts offered at this facility.

Please provide us with the following information and someone from this facility will contact you.
* Indicates required information.

Your Information:
* First Name:
* Last Name:
* Email:
* Home Phone:
Work Phone:
State:   Zip:

How soon are you seeking treatment?
What type of treatment are you interested in?

Chemical Peels
Dermal Fillers
Facial Fat Transfer
Fraxel re:pair
Fraxel re:store
Laser Resurfacing
Laser Liposuction
Lip Enhancement
Skin Care & Cosmetic Products
Skin Rejuvenation
Skin Tyte
Smart Lipo
Smartlipo MPX
Smartlipo Triplex
SmartXide Dot Therapy
Tickle Lipo
Vaser Liposelection
VI Peel
I would like information, including announcements or special promotions.
Enter a message you would like to add in this e-mail:
( Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practice. )
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We are committed to your privacy. By clicking Submit you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.


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