MedModel Submissions

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The best kept secret in medical aesthetics is that top medical providers are always looking for fresh faces to perfect and practice their aesthetic injection skills. These treatments are free to the lucky few who are in the know! Please share a little about yourself so we can pair you with providers. We’ll be in touch as opportunities come up!

Let’s begin! What’s your name and how do we connect with you?

1. Full Name

2. Email address

3. Phone

Thanks! Where are you primarily located?

4. City

5. State / Province / Region

6. Zip / Postal Code

Can you please share a few specifics to help us match you with perfect opportunities?

7. Date of Birth

8. Gender

Female

Male

Nonbinary

Other

9. Ethnicity

American Indian or Alaska Native

Asian or Asian American

Black or African American

Hispanic or Latino/a

Middle Eastern or North African

Native Hawaiian or Pacific Islander

White or European

Prefer not to say

Other

10. Treatments I’m most interested in either for the first time or again, when appropriate

Injectable Wrinkle Reducer (e.g., Botox)

Facial Filler, Lower Face

Facial Filler, Lips

Facial Filler, Cheeks

Facial Filler, Under Eye

Up for anything!

11. Times I’m most often available for treatment

Mornings (8am - 12pm)

Afternoons (12pm - 5pm)

Evenings (5pm+)

Anytime!

12. Days I’m often available for treatment

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Anyday!

13. By checking “Accept” below, I agree to MedModel’s terms, conditions and privacy policy here.

Accept

Photo #1: Smiling

Photo #2: Not Smiling

Photo #3: Looking Down

Photo #4: Right Profile

Photo #5: Left Profile

Photo #6: Raised Eyebrows

Photo #7: Pursed Lips

Photos (optional): Anything else you want to share. Makeup is fine in these :)

Video: Help us get a feel for you. 30 seconds is sufficient. Anything that you can answer easily, e.g., where you’re from, what you like to do, what gets you excited. No pressure, just be you.

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