Mailing List

To receive email updates, specials and event notices from the CHLC Rejuvenation Team, we invite you to add your name to our VIP mailing list.

 Appointments

Thank you for your interest in Cosmetic Health and Laser Centers.

Our Cosmetic Physicians and professional staff are here to help you experience rejuvenation, inside and out! So that we may better assist your individual needs, please complete the appointment request form below. Should you require immediate assistance, please call our offices directly.

A member of our staff is looking forward to speaking with you. Upon receipt of your online request, you can expect a follow up call from Cosmetic Health and Laser Centers, usually within 24 hours, excluding weekends.

Each appointment is private and booked specifically for you, should you need to reschedule please give at least 24 hours notice so that we may fill your appointment from our waiting list.

LOCATIONS:
Opelousas – (337) 942-2120
Port Allen – (225) 456-5256


ONLINE APPOINTMENT REQUEST FORM

     
CLIENT / PATIENT INFORMATION (Confidential)
     
NAME:  

PHONE:

EMAIL ADDRESS:

PREFERRED DATE OF APPOINTMENT:

   
PREFERRED TIME:

   
   
APPOINTMENT INFORMATION
   
TYPE OF SERVICE IN WHICH YOU ARE INTERESTED:
Pixel Perfect Laser Resurfacing
Photo Rejuvenation
Laser Hair Removal
Accent XL Fat & Cellulite Reduction
Accent XL Skin Tightening
VASER® Liposuction
BOTOX®
Juvederm / Cosmetic Fillers
Skin Care Products
Medical Weight Loss
Facials & Chemical Peels
Not Sure
 
If not sure, tell us a little about what your goals are:
 

 

PREFERRED LOCATION:

   
MESSAGE:

  


© 2009- Cosmetic Health & Laser Centers
Home | Services | Staff | Locations | Appointments
Events | Media | Mail List | Contact | Site Map