Virtual Consultation

 

Click or drag files to this area to upload. You can upload up to 6 files.

Please upload up to 6 photos. Max file size allowed is 2MB



HIPAA ACKNOWLEDGEMENT


Please be aware that this is a secure email network under HIPAA guidelines. Do not submit any personal or private information unless you are authorized and have voluntarily consented to do so. We are not liable for any HIPAA violations. Understand that if you email us, you are agreeing to the use of this secure method and understand that all replies will be sent by standard (unsecured) email, which you are hereby authorizing. By checking this box you hereby agree to hold Ritacca Cosmetic Surgery & Medspa, including its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.