(608) 831-3991

2261 Deming Way,
Middleton, WI 53562

332 N Mall Drive,
Appleton, WI 54913

24-Hour Emergency Aid
Call Us Urgent 24/7
+1 800-123-1234

Only used in cases of accidents,
illnesses, etc. that are not life-threatening

For more serious problems
please call 911.

511 SW 10th Ave 1206,
Portland, OR United States

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Virtual Consultation Registration

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Register for a virtual consultation with Dr. Richard Parfitt and take the first step toward your facial rejuvenation goals from the comfort of your home. Parfitt Facial Cosmetic Surgery Center proudly offers secure online consultations for patients in Madison, Appleton, and throughout Wisconsin. Connect directly with Dr. Parfitt to discuss your facial plastic surgery or non-surgical treatment options.

MIDDLETON: (608) 831-3991
APPLETON: (920) 730-1309

To schedule a virtual consultation please complete this request. If we haven’t already booked the appointment we will reach out to you soon. If you have additional questions please contact our Surgical Coordinator at angela@facialplastics.com or (608) 831-4551

After you hit SUBMIT you will see a confirmation note below. If you have uploaded photos this may take a few minutes. Make sure each individual image is less than 256MB or they will not be received.

Patient Consultation Registration Form

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If you would like to book a Skype consultation please list your Skype account name so that Dr. Parfitt can contact you.
If you would like to book a FaceTime appointment with Dr. Parfitt please list the number he should use to call you.
If you would like to video chat with something other than Skype or FaceTime please list the details here.
Does your job require strenuous activity or protective gear over your face?
How did you hear about us?
Referral Source. Please be specific. If more than one, please list which was most influential. Please list the first and last name of any person or professional who referred you. We have a great referral reward system!

Please list all allergies along with your reaction. If you do not have any allergies please type "None"
Please list all medications your take including supplements. If you do not take any medications or supplements type "None".
Please describe any chronic health concerns or skin conditions.
Have you had any prior facial surgery?
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    HOW TO TAKE PHOTOS: – Another individual should take these photos of you – The photographer should be AT LEAST 6 feet away and ZOOM In from that distance so that the head fills the frame.  – Stand in front of a blank wall or background – Photos should be full-face headshots (from top of head to collar) from the front and also the side – Do not smile in photos – Make sure photos are clear and not blurry or distorted -You may need to reduce the size of the image to successfully upload. If you are unable to upload photos to this form please email them to angela@facialplastics.com
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    Our Locations in Wisconsin!

    Middleton (Madison)
    2261 Deming Way,
    Middleton, WI 53562
    Phone: (608) 831-3991
    Appleton
    332 N Mall Drive,
    Appleton, WI 54913
    Phone: (920) 730-1309
    Office Hours
    Monday: 9.00am - 6.00pm
    Tuesday - Thursday: 8.30am - 5.00pm
    Friday: 9.00am - 1.00pm
    Book An Appointment
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    If you’re a current patient with an urgent concern following your procedure, please follow the post-operative contact instructions provided to you by our office. For all other inquiries, contact us using the information below.

    Contact Us!

    MIDDLETON LOCATION:
    2261 Deming Way,
    Middleton, WI 53562

    Opening Hours: Mon -Sat: 7.00am – 19.00pm

    APPLETON LOCATION:
    332 N. Mall Drive
    Appleton, WI 54913

    Opening Hours: Mon -Sat: 7.00am – 19.00pm

    (608) 831-3991

    Email: Use the online form

    Schedule a Consultation