PAY-PER-CALL ADVERTISING FOR COSMETIC PRACTICES. THESE ARE NOT EMAIL LEADS.
PATIENTS CALL YOUR OFFICE DIRECTLY.
We help you design an ad. We pay to run it. You pay only for each call to your office from your ad.
Risk-free. Quit anytime if you are not 100% satisfied.
Utilizing new proprietary technology we can track each call. We can even record them if you like. No
equipment is required at your office. A limited number of exclusive areas are available.
PLEASE CIRCLE THE PROCEDURES THAT YOU WOULD LIKE TO HAVE MORE PATIENTS FOR
• Acne Treatment • Endermologie • Omnilux
• Anti Aging Medicine • Endoscopic Forehead Lift • Otoplasty
• Arm Lift • Endotine • Permanent Makeup
• Blepharoplasty • Facelift • Photo Rejuvenation
• Body Lift • Featherlift • Radiance
• Body Thermage • FotoFacial • Radiesse
• BOTOX • Fraxel • Restylane
• Breast Augmentation • Gastric Bypass • Rhinoplasty
• Breast Exchange • Hair Transplants • Rosacea Treatment
• Breast Lift • Hormone Replacement • Sclerotherapy
• Breast Reduction • Hylaform • Sculptra
• Browlift • Laser Hair Removal • Silicone Breast Implants
• Buttock Augmentation • Laser Skin Resurfacing • S-Lift
• Calf Augmentation • Lip Augmentation • Smoothbeam
• Captique • Lipodissolve • Spider Veins
• Chelation • Liposuction • Synergie Cellulite Treatment
• Chemical Peel • Macrodermabrasion • Tattoo Removal
• Chin Surgery • Male Breast Reduction • Testosterone Replacement
• Contour Threads • Massage Therapy • Thermage
• Cosmoderm - Cosmoplast • Medical Weight Loss • Thigh Lift
• Curl Lift • Mentoplasty • Threadlift
• Dermabrasion • Mesotherapy • Titan
• Dermasonic • Microdermabrasion • Transumbilical Breast Augmentation
• Dermawave • Mini Facelift • Tummy Tuck Ultrasonic Liposuction
• Ear Surgery • Mini Tummy Tuck • Velasmooth
PLEASE PICK THE TYPE OF INQUIRIES THAT YOU WANT
Calls Only = $40 per call Calls and Emails = $30 per call, $20 per email
Calls, Emails, & Website Visits = $30 per call, $20 per email, $1 per website visit
Your initial account deposit via credit card. Each call is subtracted from the balance.
$120 When your balance reaches $0, we will call you to continue. No contracts, minimums, or
Starting Balance setup fees. Cancel anytime.
Name of Doctor/Clinic
Address, City, State, ZIP
Phone Number for New Patient Email :
Calls
EXPIRATION DATE:
Card number & Card ID # :
(the 3 or 4 digit code on the back)
Name on card
Credit Card Billing Address
Address, City, State, ZIP
DOCTOR OR AUTHORIZED
SIGNATURE
Questions? call (281) 844-7364 - Send Email to info@adsmartmedical.com - or visit AdSmartMedical.com
Want to get started? Complete this form and fax it to (267) 295-1761. Calls usually begin within a week. Cancel Anytime.