Appointment Request

Schedule a Plastic Surgery Appointment - South Bend, IN - Michiana Cosmetic Surgeon

The first step towards a beautiful, healthy look is to schedule an appointment. Please contact our office by phone or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Please Note:

Dr. Zucker is available for consultations on Monday and Friday only (9am-5pm).

Aesthetics are available Monday thru Friday (9am-5pm)

*Items in bold are required.
Are you a current patient?

Preferred day(s) of the week for an appointment?

Preferred time(s) for an appointment?

Please describe the nature of your appointment (e.g., consultation, check-up, etc.):

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

We have a 24 hour cancellation policy.

Any initial cosmetic consultation appointment is free of charge.  Dr. Zucker reserves 30-40 minutes for every initial cosmetic consultation. If these appointments are not cancelled or re-secheduled with 24 hours notice or if you fail to keep your appointment at the scheduled date and time, you will be charged a no show fee of $125.