The LINE Plastic Surgery Clinic

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Name

Tel.

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Weight

Desired Procedure

Preferred Surgery

Surgical History

First-time Surgery

Revision Surgery

Third-time or More

Other

Appointment Date

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Consent to Use of Personal Information

The personal information collected will be used solely for consultation purposes and informational
messages from TheLINE Plastic Surgery. It will be discarded immediately after the intended use is fulfilled.
Entering someone else’s contact information (identity theft) may result in legal consequences.

Tel: +82-10-9868-0252

Location

The Line Plastic Surgery Clinic,
4th, 5th, 6th Floors, Dongnam Building,
65 Garosu-gil, Sinsa-dong，Seoul, South Korea.

Monday – Friday : 9:30 AM – 6:30 PM
Saturdays: 9:30 AM – 4:30 PM
Sunday & Public Holidays　Closed

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