Treatment Request Form

Dear Instant Laser Clinic team, I am interested in the following treatments:





Upload a photo of your concern (Max file size 5MB)


Please contact me on the number below, to arrange a complimentary review or consultation to discuss either over the phone, WhatsApp, Facetime or Zoom video consultation.







*Conditions apply:
I give permission to the Instant Laser Clinic team to contact me regarding my service request.
I understand that a $50 cancellation fee will apply, unless I notify Instant Laser Clinic, within 3 days prior to my booking date.
I understand, payments are non-refundable and non-transferable, but I may choose to exchange for other services.
Payments are valid for six months from the day of my purchase.

Accept Conditions