Bal-Tech Medical - Quality Cosmetic Equipment and Supplies

Please indicate with a check mark, which procedures you would like profiled on your customized DVD. Since each DVD is customized, please allow 2 weeks for customization, shipping and handling of the DVD. We cannot always match manufacturers, but we will make every effort to do so. Below is our online form. If you would rather view/print our form and mail or fax it, please click here.

Photo-rejuvenation of sun damaged skin (Manufacturer: )
with UV camera
w/o UV camera

Vascular lesions/face (telangiectasia)( )

Pigmented lesions (age spots) ( )

Skin tightening/wrinkle reduction
Thermage™
Syneron
LED (Gentlewaves)

Hair removal ( )
with Vaniq™

Fraxel™

Erbium Peel ( )

JetPeel™

Sclerotherapy

Vascular lesions/leg ( )

Hair Restoration

Blepharoplasty ( )

Cellulite
Mesotherapy
No Needle Mesotherapy
VelaSmooth

Acne treatments ( )
Laser
IPL
LED

Tatoo removal ( )

Botox™

Restylane™/dermal fillers

Vibraderm

Microdermabrasion ( )
with ultrasound recovery
with oxygen recovery
with LED

Skin Care
SkinMedica (Vitalize Peel, daily regimen)

Spray tan

Personalized
$1,495.00
Choose from procedures listed above, plus Physician/Practice name welcome message with music intro.

Premium Personalized
$1,995.00
Choose from procedures listed above, plus Practice logo, customized script, Physician and staff photos, additional clips as provided by physician.

Practice Profile
$8,995.00
Plus travel (capped at $1,000) You are filmed on-site and clips are integrated with library footage to showcase you and the practic. Best way to profile the additional services you offer.

Name of Practice:
Practice Address: (if multiple addresses, please fill out a form for each address)
Physician's Name:
Phone Number:
Email address to contact you:
Person to contact with questions:

By clicking on the submit button below, you agree to be bound by the terms and conditions of the User's Agreement. PLEASE CALL US AT 800-574-2152 WITH YOUR CREDIT CARD INFORMATION. We accept VISA, MC, AMEX and Discover.