Virtual Consultation (Skype)

Book A Virtual Initial Consultation If You Live Too Far Away

Mr Philip Turton now offers virtual consultations conducted via Skype. This is suitable for patients who simply live miles away from us, but need to consult, or want to consult in advance of traveling.

There is a charge of £100 for each consultation of this type lasting 20-mins. We will usually schedule the Skype video call on a Saturday morning at a pre-arranged time

Simply fill in the form below and we will be in touch very soon.

Virtual Consultation - Booking Form

Virtual Consultation - Booking Form

Full Name *

Date of Birth *

(dd/mm/yy)

Your Email Address *

Mobile Number *

Surgery Required

Breast Augmentation

Breast Reduction

Mastopexy

Breast Reconstruction

Male Breast Surgery

Not Sure

Other

Please describe how you currently perceive your breasts:

(e.g. size, shape, droop,asymmetry, loose skin and the effects this has on you)

Please describe what you expect from your surgery:

Medical History

(Please outline a full account of your past medical history and any ongoing conditions that you are on treatment for)

Surgical History

(Please provide full details of every previous surgery and all general anaesthetics)

Are you currently taking any prescription or other drugs?

Yes

No

Please list any medications that you take or are on (including implant type contraception or mireena coil etc.)

Do you have any Allergies to any medication or other products

(Please detail the allergy and the reaction you get)

Do you have any family history of breast or ovarian cancer?

(Please detail who was affected, whether on your mother’s or father’s side of the family and the approximate age of onset of the cancer)

Current Weight:

Current Height:

Bra Size (band measurement & cup):

Amount Payable