Join LeMed Spa

How Did You Hear About Us?

Were you referred by a current patient or someone you know?

No — Join the Waitlist

Who Referred You?

Please enter referrer details to help us verify and apply your discounted booking deposit.

Referrer's Full Name

Relationship (optional)

Referrer's Phone (recommended)

Providing their phone number significantly improves match accuracy.

Referrer's Email (optional)

Verifying your referral

Your Information

Great news — your referral is verified! Please enter your contact details, then complete your $100 booking deposit to reserve your consultation.

Your Full Name

Your Email

Your Phone

$100 Booking deposit — applied as credit toward your consultation

Not ready to pay? Return to LeMed Spa

Referral Under Review

We weren't able to automatically identify who referred you using the contact information provided. This can happen due to slight name spelling differences (e.g., nickname), typos, or if your referrer isn't yet in our system.

Your referral is now pending manual review by our team — we'll get back to you within two (2) business days. In the meantime, we recommend:

• Double-checking the spelling of your referrer's name and contact info
• Asking your referrer to reach out to us directly via text at (818) 463-3772 to help confirm
• Providing any additional or revised information below

Additional Information (optional)

This will be sent to our team along with the referral information you already provided.

Alternatively, you're always welcome to join our standard waitlist with a $250 deposit (fully refundable, applied as credit).

Join the Waitlist Instead →

This page is for referred patients. To join LeMed Spa without a referral, please use our standard waitlist — a $250 fully refundable deposit secures your place.

Join the Waitlist ($250) →

One More Step

Booking deposit received — thank you! Please complete your intake form so we can prepare for your consultation.

1

Contact Information

Step 1 of 5

First Name

Last Name

Date of Birth

Mobile Number

Email Address

Address

City

State

ZIP

Submitting your intake form…

✓

You're Confirmed

Thank you for your booking deposit and intake form. Our team will be in touch within 48 hours to confirm your consultation date.

What Happens Next

We'll reach out personally to schedule your consultation at a time that works for you. Keep an eye on your phone and email for a message from our team at LeMed Spa.

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