Kiora Medical Spas
 
 
 
   
 
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REQUEST TREATMENT PLAN


* Due to current Australian regulations Kiora Medical Spas can only supply treatment plans to current patients. Please fill out the request form below along with your next appointment date and a  treatment plan will be emailed to you in the next 48 hours.

 
Treatment Plan Request Form
 
Full Name*
Email*
Confirm Email*
Phone
Treatment Plan Required & date of appointment *
 
 
 
 
 
 
 

 
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Kiora Medical Spas, Melbourne | 12 Wakefield St, Hawthorn Vic 3122 | Phone Number: 1300 55 98 96
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