Request Your Appointment
Fields marked * are required
Procedure Interest*
Aesthetic Services
Botox
Chemical Peels
Dermal Fillers
EXION™
Genius® RF Microneedling
Hydrafacial
Kybella
Latissee
PDO Smooth Threads
SKINVIVE™ by JUVÉDERM®
Laser Treatments
Laser 360 Combined Therapy
LaseMD
AFT Laser Treatment
ClearLift
LaseMD Laser Hair Loss Treatment
Laser Hair Removal
Laser Vein Removal
Microneedling / CIT
Lip Filler
Nail Fungus Removal
Tattoo Removal
EMSELLA®
EMSCULPT NEO®
EMFACE®
Vampire Treatments
Platelet-Rich Fibrin (PRF) Bio Filler
Zemits Abigon Pro
PRP Hair Treatments
PRF Bio Fillers
O-Shot
P-Shot
P-Shot 100™
Prolotherapy for Pain
Hormone Therapies
Weight Loss & Nutrition
Semaglutide
Tirzepatide
B12 Injections
HCG Weight Loss
Multiple Services
Other
Office Location*
Millard Office
Omaha Office
Referred by*
Living Social
Newspaper
Radio
Facebook
Friend
Healthcare Professional
TV
Search Engine
Billboard
Email me about news & special offers
I accept the
Terms of Use
*
By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold Preventative Medical Clinic, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.
Submit
This site is protected by reCAPTCHA and the Google
Privacy Policy
and
Terms of Service
apply.