First-Time Patient

Congratulations! You have just taken the first step to experiencing Beverly Hills 6750's world class treatment and services made especially for you.

Now that you have decided to give more time and attention to yourself (and perhaps some of your friends and family too), here’s how you can immediately set yourself up for your well-deserved pampering:

1. Download the Patient's Information Sheet. You need Adobe Acrobat Reader to view the form.

2. Accomplish the form and fax it to us.

You can also email it to us at: Or you can bring it with you on your appointment date and submit it to us.  If you have any problems downloading the forms, you can contact us and we will gladly fax the form to you. 

3. Get our eCoupon below and avail of a free gift from Beverly Hills 6750.

Just fill-out the form at the bottom of this page and submit it to us. After that, print the ecoupon and present it to any of our staff when you visit us for your appointment.

4. Don’t forget to request for an appointment with us!

The eCoupon should contain your name and eCoupon ID for us to verify that you really are a first time patient.  It should look like this:

(Note:  This is a sample eCoupon only.  Register below for your official First Time Patient eCoupon!)

sample e-coupon

Your Name:
Your Email:
Your contact number: