This medical aesthetics assessment will help us gather beneficial information about your skin concerns.
Optima Medical has a reputation in Omaha for being one of the premier medical aesthetics specialists. This assessment is our way of getting a first look at your skin concerns.
- Read carefully through the list of symptoms in each group, and fill in the button next to each symptom that you have.
- Go back and count the symptoms, if you have two or more symptoms, there’s a good chance that you may need skin therapy.
Please take a moment to fill out the form below and we will contact you concerning the results.
Thank you for taking a moment to fill out the medical aesthetics questionnaire. We will contact you shortly to discuss your skin concerns. If you have questions please call us at 402.578.5353.