Cosmetic Medical Device Rental Form

Please complete this form with your preferred laser rental request and our office will call you to confirm.
  • Doctor and Clinic Information

  • Best Number to reach you by.
  • Select the type of laser you would like to Rent.,
  • Once we receive your submission, we will contact you to discuss renting your selected Cosmetic Medical device.

Contact Info

(888) 371-7776

(310) 947-2857

Los Angeles

Mike Mansfield

Contact Us