Am I a Candidate?

Please Fill Out The Form Below

I'M TIRED OF GETTING MINIMAL RESULTS FROM MY DIET AND EXERCISE EFFORTS.*
- YES
- NO
I'M NO LONGER AS CONFIDENT IN MY BODY AS I ONCE WAS.*
- YES
- NO
I WOULD FEEL BETTER ABOUT MYSELF IF I LOST FAT AROUND MY STOMACH OR LOVE HANDLES.*
- YES
- NO
I'M INTERESTED IN A LASTING, SAFE AND EFFECTIVE TREATMENT THAT IS NON-INVASIVE.*
- YES
- NO
I'M WITHIN 5-35 POUNDS OF A HEALTHY AND IDEAL WEIGHT FOR MY HEIGHT?*
- YES
- NO
HOW DID YOU HEAR ABOUT BODIFY?*
FIRST NAME*
LAST NAME*
PHONE*
EMAIL*
LOCATION INTERESTED IN*
GENDER
- Male
- Female
Phone
This field is for validation purposes and should be left unchanged.

Phoenix Location

2999 N. 44th Street Suite 135
Phoenix, AZ 85018
Call: 602.354.8040 | Text: 480.531.5955

Scottsdale Location

7033 E Greenway Parkway,
Suite 140 Scottsdale, AZ 85254
Call: 480.530.0030 | Text: 480.531.5955

How much does CoolSculpting cost?

Contact Us

First Name*
Last Name*
Email*
Phone*
Gender
- Male
- Female
Untitled*
Location Interested In*
Untitled
- Phone call
- Text message
- Email
- All are acceptable
Phone
This field is for validation purposes and should be left unchanged.

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READY TO BOOK YOUR COMPLIMENTARY CONSULT? SCHEDULE HERE >>>

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2999 N. 44th Street Suite 135
Phoenix, AZ 85018
Call: 602.354.8040 | Text: 480.531.5955

7033 E Greenway Parkway, Suite 140
Scottsdale, AZ 85254
Call: 480.530.0030 | Text: 480.531.5955

Hours of Operation: M-F 9am-6pm | Sat 9am-3pm | Closed Sunday

READY TO BOOK YOUR COMPLIMENTARY CONSULT? SCHEDULE HERE >>>

In the U.S., the CoolSculpting procedure is FDA-cleared for the treatment of visible fat bulges in the submental area, thigh, abdomen and flank, along with bra fat, back fat, underneath the buttocks (also known as banana roll), and upper arm. ZELTIQ, CoolSculpting, the CoolSculpting logo, and the Snowflake design are registered trademarks of ZELTIQ Aesthetics, Inc. © 2017. All rights reserved. CoolSculpting is the treatment doctors use most for non-invasive fat removal. Click HERE for patient safety information