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Consultation Request

You can use this form to request a pre-operative consultation with physicians at the Flaum Eye Aesthetics Center only. Please be aware that elective aesthetic procedures are not covered by traditional insurance. There is a $100 consultation fee due at your initial visit. This fee can be applied to the cost of any elective aesthetic fee performed by Dr. Gonzalez.

Request A Non-Urgent Appointment

For questions about your appointment, please contact us at (585) 275-7080. Use this form to request a non-urgent appointment only. All requests will be processed within 24 hours during regular business hours, Monday - Friday, 8:00 am-4:30 pm.

Name
Address
Contact Information
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Contact me between 8:00 a.m. and 4:30 p.m. via:
I am primarily interested in:
Scheduling Preferences

Please indicate your first choice for day and time.

Please indicate your second choice for day and time.

Additional Information