Date of Appointment(Required) Time(Required) Name(Required)
First
Last
What would be the best time for you to talk?(Required) Indicate hours(Required) Time Zone Select a timezone (UTC-12:00) International Date Line West Etc/GMT+12 (UTC-11:00) Coordinated Universal Time-11 Etc/GMT+11 (UTC-10:00) Hawaii Pacific/Honolulu (UTC-09:00) Alaska America/Anchorage (UTC-08:00) Baja California America/Santa_Isabel (UTC-08:00) Pacific Time (US and Canada) America/Los_Angeles (UTC-07:00) Chihuahua, La Paz, Mazatlan America/Chihuahua (UTC-07:00) Arizona America/Phoenix (UTC-07:00) Mountain Time (US and Canada) America/Denver (UTC-06:00) Central America America/Guatemala (UTC-06:00) Central Time (US and Canada) America/Chicago (UTC-06:00) Saskatchewan America/Regina (UTC-06:00) Guadalajara, Mexico City, Monterey America/Mexico_City (UTC-05:00) Bogota, Lima, Quito America/Bogota (UTC-05:00) Indiana (East) America/Indiana/Indianapolis (UTC-05:00) Eastern Time (US and Canada) America/New_York (UTC-04:30) Caracas America/Caracas (UTC-04:00) Atlantic Time (Canada) America/Halifax (UTC-04:00) Asuncion America/Asuncion (UTC-04:00) Georgetown, La Paz, Manaus, San Juan America/La_Paz (UTC-04:00) Cuiaba America/Cuiaba (UTC-04:00) Santiago America/Santiago (UTC-03:30) Newfoundland America/St_Johns (UTC-03:00) Brasilia America/Sao_Paulo (UTC-03:00) Greenland America/Godthab (UTC-03:00) Cayenne, Fortaleza America/Cayenne (UTC-03:00) Buenos Aires America/Argentina/Buenos_Aires (UTC-03:00) Montevideo America/Montevideo (UTC-02:00) Coordinated Universal Time-2 Etc/GMT+2 (UTC-01:00) Cape Verde Atlantic/Cape_Verde (UTC-01:00) Azores Atlantic/Azores (UTC+00:00) Casablanca Africa/Casablanca (UTC+00:00) Monrovia, Reykjavik Atlantic/Reykjavik (UTC+00:00) Dublin, Edinburgh, Lisbon, London Europe/London (UTC+00:00) Coordinated Universal Time Etc/GMT (UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna Europe/Berlin (UTC+01:00) Brussels, Copenhagen, Madrid, Paris Europe/Paris (UTC+01:00) West Central Africa Africa/Lagos (UTC+01:00) Belgrade, Bratislava, Budapest, Ljubljana, Prague Europe/Budapest (UTC+01:00) Sarajevo, Skopje, Warsaw, Zagreb Europe/Warsaw (UTC+01:00) Windhoek Africa/Windhoek (UTC+02:00) Athens, Bucharest, Istanbul Europe/Istanbul (UTC+02:00) Helsinki, Kyiv, Riga, Sofia, Tallinn, Vilnius Europe/Kiev (UTC+02:00) Cairo Africa/Cairo (UTC+02:00) Damascus Asia/Damascus (UTC+02:00) Amman Asia/Amman (UTC+02:00) Harare, Pretoria Africa/Johannesburg (UTC+02:00) Jerusalem Asia/Jerusalem (UTC+02:00) Beirut Asia/Beirut (UTC+03:00) Baghdad Asia/Baghdad (UTC+03:00) Minsk Europe/Minsk (UTC+03:00) Kuwait, Riyadh Asia/Riyadh (UTC+03:00) Nairobi Africa/Nairobi (UTC+03:30) Tehran Asia/Tehran (UTC+04:00) Moscow, St. Petersburg, Volgograd Europe/Moscow (UTC+04:00) Tbilisi Asia/Tbilisi (UTC+04:00) Yerevan Asia/Yerevan (UTC+04:00) Abu Dhabi, Muscat Asia/Dubai (UTC+04:00) Baku Asia/Baku (UTC+04:00) Port Louis Indian/Mauritius (UTC+04:30) Kabul Asia/Kabul (UTC+05:00) Tashkent Asia/Tashkent (UTC+05:00) Islamabad, Karachi Asia/Karachi (UTC+05:30) Sri Jayewardenepura Kotte Asia/Colombo (UTC+05:30) Chennai, Kolkata, Mumbai, New Delhi Asia/Kolkata (UTC+05:45) Kathmandu Asia/Kathmandu (UTC+06:00) Astana Asia/Almaty (UTC+06:00) Dhaka Asia/Dhaka (UTC+06:00) Yekaterinburg Asia/Yekaterinburg (UTC+06:30) Yangon Asia/Yangon (UTC+07:00) Bangkok, Hanoi, Jakarta Asia/Bangkok (UTC+07:00) Novosibirsk Asia/Novosibirsk (UTC+08:00) Krasnoyarsk Asia/Krasnoyarsk (UTC+08:00) Ulaanbaatar Asia/Ulaanbaatar (UTC+08:00) Beijing, Chongqing, Hong Kong, Urumqi Asia/Shanghai (UTC+08:00) Perth Australia/Perth (UTC+08:00) Kuala Lumpur, Singapore Asia/Singapore (UTC+08:00) Taipei Asia/Taipei (UTC+09:00) Irkutsk Asia/Irkutsk (UTC+09:00) Seoul Asia/Seoul (UTC+09:00) Osaka, Sapporo, Tokyo Asia/Tokyo (UTC+09:30) Darwin Australia/Darwin (UTC+09:30) Adelaide Australia/Adelaide (UTC+10:00) Hobart Australia/Hobart (UTC+10:00) Yakutsk Asia/Yakutsk (UTC+10:00) Brisbane Australia/Brisbane (UTC+10:00) Guam, Port Moresby Pacific/Port_Moresby (UTC+10:00) Canberra, Melbourne, Sydney Australia/Sydney (UTC+11:00) Vladivostok Asia/Vladivostok (UTC+11:00) Solomon Islands, New Caledonia Pacific/Guadalcanal (UTC+12:00) Coordinated Universal Time+12 Etc/GMT-12 (UTC+12:00) Fiji, Marshall Islands Pacific/Fiji (UTC+12:00) Magadan Asia/Magadan (UTC+12:00) Auckland, Wellington Pacific/Auckland (UTC+13:00) Nuku'alofa Pacific/Tongatapu (UTC+13:00) Samoa Pacific/Apia
Your safety is FIRST! Please have in mind that a BMI of 30 or bellow will be required to be elegible for surgery.
If your BMI is above 35, PLEASE DO NOT SUBMIT A REQUEST YET.
Date of bariatric surgery(Required)
Have you gained weight recently?(Required)
Do you exercise?(Required) Do you have a physical condition that limits your ability to exercise?(Required) How many hours do you sleep at night? Choose one:(Required) Do you have heartburn?(Required) Medication and/or Supplements(Required) Family Background(Required) Diabetes(Required) Thyroid(Required) High blood pressure / Hypertension(Required) Blood clots(Required) Embolism(Required) Cardiac Problems / Heart Disease(Required) VIH/AIDS(Required) Do you have any allergies?(Required)
PREGNANCY INFORMATION When was your last child born?(Required) Indicate if you are currently breastfeeding:(Required)
SURGERIES Have you had any other surgeries throughout your life?(Required) (including plastic surgeries, dates, areas were you had lipo, please be very specific).
HABITS Do you smoke / vape?(Required)
Do you use any other recreational drug or substance?(Required)
PROCEDURES OF INTEREST Do you have a date already in mind?(Required) FACIAL SURGERY BREAST SURGERY BODY SURGERY AFTER WEIGHT LOSS NON SURGICAL MALE PROCEDURES
PHOTO & VIDEO SUBMISSION 1. Body procedures evaluation requires photos taken WITHOUT UNDERWEAR. 2. Use a solid background. 3. Take your photos in a well illuminated room. 4. If you don't have anyone to help you taking full body photos you can help yourself with a mirror. 5. Face procedures evaluation requires photos taken without any makeup on and with hair tied up.
Photographs: Completely Naked so Dr. Cardenas can have a clear view of surgical areas for evaluation.
Accepted file types: jpg, png, pdf, heic, jpeg, gif, heic, jpg, png, jpeg, gif, mp4, mp3, Max. file size: 50 MB, Max. files: 10.
10 maximum images, not to exceed the maximum of 50MB's by all the photos.
Submitting pictures without following the specifications may delay the Doctor´s response time.
Comments & Questions(Required)
Please describe what is motivating you to undergo plastic surgery, what areas are you more uncomfortable with and why, and please be very specific describing your expectations, not all areas of the body may be treated in one single surgery due to safety, understanding your motives and desires will allow Dr. Cardenas to design your plan considering what is more important for you.
FINANCIAL INFORMATION
CONSULTATION PAYMENT Or it’s equivalent in your currency (aprox $100 us dollars.)
Ir it’s equivalent in usd which is based on your bank’s rate of exchange (aprox $150 usd / or aprox $185 Canadian dollars.)
Your bank details are protected by an SSL certificate and securely encrypted by the company Stripe, Beauty Enhance will not know or store your bank card data.
Billing address information(Required)
I agree(Required) I have read and agree to terms of service and privacy policy.
In compliance with article 16 of the Political Constitution of the United Mexican States, as well as Article 15 and Section II of Article 17 of the Federal Law on Protection of Personal Data Held by Private Parties, we inform you that CLINICA BEAUTY ENHANCE PLASTIC DE MEXICO S.C. with address at PASEO DE CENTENARIO 9580 1803 ZONA RIO, IN THE CITY OF TIJUANA, BAJA CALIFORNIA is responsible for the processing of your personal data in accordance with this privacy notice. This privacy notice is made under the principles of legality, consent, information, quality, purpose, loyalty, proportionality, and responsibility, in accordance with the provisions of the Law.
Personal data collected:
● Identification and contact information: name, email address, home address, date of birth, phone number, and gender.
● Signature at the bottom of this privacy notice.
● Clinical photographs with prior authorization.
● Anthropometry (weight and height).
● Non-pathological personal history.
● Pathological personal history: surgeries, transfusions, allergies, immunizations, diabetes, hypertension, scarring, current conditions, infections, medications in use, and others.
● Blood type.
● Position or job title.
● Educational background or schooling.
● Financial information related to medical services payments.
● Insurance policies.
● Current or past physical and/or mental health status.
● Genetic information if required.
● Sexual practices or habits that are relevant and exclusively related to the service provided.
● Mental and family health history.
● Physical examination.
Purposes of personal data processing:
● Creation, study, analysis, updating, and conservation of your medical record.
● Provision of medical-surgical services, whether in a medical office, hospital, including but not limited to: hospitalization, surgery, diagnostic studies, nursing care, laboratory analysis, radiology and imaging, pathological studies and analysis, intensive therapy, rehabilitation, diet and nutrition, medical expense insurance, and other health-related purposes.
● Records retention, provision of services in the future, and overall follow-up on your patient care.
● Issuance of receipts and billing for services rendered.
● Studies, records, statistics, and health information analysis.
● Promotion of services and information on health.
● Sending relevant information about medical services, promotions, and special events.
Personal data transfers:
Your personal data will not be transferred to third parties without your consent, except when it is necessary to comply with legal obligations.
Security measures and limitation of personal data use and disclosure:
We commit to keeping your personal data secure and using it only for the purposes established in this privacy notice. Additionally, we will adopt the necessary security measures to prevent the misuse, alteration, unauthorized access, and loss of your personal data.
ARCO Rights:
You have the right to know what personal data we have about you, how we use it, and the conditions under which we use it (Access). Likewise, you have the right to request the correction of your personal information if it is outdated, inaccurate, or incomplete (Rectification); the deletion of your personal information from our records or databases if you consider that it is not being used properly (Cancellation); as well as to object to the use of your personal data for specific purposes (Opposition). These are known as ARCO rights, which are enshrined in the Organic Law on Protection of Personal Data.
To exercise any of your ARCO rights:
If you wish to limit the use of any of your data, you must submit a written request at the address of the person responsible for the personal data mentioned at the beginning of this notice, specifying the limitations you wish according to the paragraphs above, assuming the possible harm that these limitations may cause in your care. The response to your request will be sent to you within the deadlines set by the Federal Law on Protection of Personal Data Held by Private Parties, as long as they are not within the exceptions of Article 26 of the same Law and 75 of the Regulation, respectively.
You can revoke the consent that you may have granted us for the processing of your personal data. However, it's important to note that we may not always be able to immediately fulfill your request or conclude the use, as there may be some medical procedures and/or legal obligations that require us to continue processing your personal data. Additionally, you should consider that for certain purposes, revoking your consent may mean that we cannot continue providing the service you requested or canceling your relationship with us. If you wish to revoke your consent, you must submit a written request to revoke the consent granted to process your personal data.
This privacy notice may be modified at any time to comply with legislative, jurisprudential, internal policy, or service provision requirements for medical services, or any other justified cause.
We commit to keeping you informed of any changes that may occur in this privacy notice, which can be reviewed directly at the clinic.
I declare under penalty of perjury that I have read this Privacy Notice in its entirety and fully understand its scope and content.
By signing below, I grant my consent to the processing of my personal data, including sensitive data, in accordance with this privacy notice required by law.
We are sorry, your BMI is over 33. Your Virtual Consultation cannot be submitted.