Patient Information
Procedures Discussed
Multi-Select · Per-Procedure Pricing · CADCheck the procedures this patient is a candidate for. Enter the specific quoted price (CAD) for each selected procedure — price input activates when you check the box.
| Procedure | Sedation | Duration | Range (Reference) | Quoted Price (CAD) |
|---|
Duration:
Duration:
Bespoke Surgical Elements
Programs, Financing & Surgical Onboarding
Patient interested in financing through Beautifi
Patient consented to receive health information by email (PHIPA)
🔒 Email Proposal button is locked until PHIPA email consent is confirmed above.
Include deposit payment link in patient email
Standard links for $1,500 and $1,800 are built in. Only paste a link here if using a non-standard amount — create at squareup.com/dashboard/checkout-links
Select a deposit amount and check "Include deposit payment link" above.
Clinical Context
Goes on ProposalCoordinator Notes
Goes on ProposalInternal Notes
Does Not Go on ProposalMD Notes
Internal Only — Never Prints on Proposal5.0 = ideal candidate · 3.0 = threshold · <3.0 = internal red flag
Medical Preparation
Scheduling & Follow-Up
Default: 180 days from consultation
OHIP only — no cosmetic fee
$1,800 CAD standard · $1,500 CAD if booked within 90 days ($300 consult fee credited)
Select procedures and enter a patient name to generate the consultation proposal.