Page 1 of 2

Consultation Request — Dr. Hong (Seoul, Korea)

Thank you for reaching out. Please complete this form to request a consultation with Dr. Hong in Seoul, Korea.
Our coordinator will contact you via WhatsApp or Instagram to confirm details and provide pre-treatment guidance.
This is a consultation request, not a confirmed booking.

Full Name (as it appears on your passport)

Date of Birth

Nationality (on your passport)

Treatment of interest

Ultherapy Prime (HI-FU)

Coolsonic (painless HI-FU)

Sofwave

XERF (painless monopolar RF)

Potenza (microneedling RF)

Pigment laser / toning

CO2 laser (resurfacing)

Rejuran / Juvelook

RE2O

Other skin booster

Filler (Juvederm/Restylane/etc)

Sculptra / Radiesse

Botox

Basic skincare (LDM, chemical peel)

Not sure — will decide after consultation

What are your main concerns or areas you'd like to improve?

Have you ever avoided or postponed a treatment because of pain?

Yes

WhatsApp number (with country code) or Instagram ID

Preferred contact method (select all that apply)

Instagram DM

SMS / Text message

LINE

WeChat

Your main email address

When are you planning to visit Seoul, Korea? (If undecided, please state)

Will you be visiting alone or with others?

I will come alone

I will come with others

If you are coming with others, please ask each person to submit their own consultation form so we can arrange your schedules together.

Photo upload (optional) — front and side views are most helpful

Size limit: 10 MB

Untitled checkboxes field

Consent to the collection and use of personal information

We collect your name, date of birth, nationality, contact details, and any photos you provide, for the purpose of consultation scheduling and pre-treatment guidance. Your information is retained until your consultation is completed or until you request its deletion, and is not shared with any third party.