ENROLL TODAY
Learn Liposuction Surgery with surgeons from all over the world

REQUIREMENTS – ENROLLMENT FOR PHYSICIANS

The following items need to be faxed to 
949-248-9339 or mailed to Us for enrollment:

  • Completed and Signed Enrollment Application Form     PDF
  • Signed Confidentiality Agreement     PDF
  • Signed Disclaimer Agreement     PDF
  • Copy of your current Curriculum Vitae (CV)
  • Proof of malpractice insurance coverage (copy of liability insurance policy)
  • Deposit of $1,800 due with application.
    This may be paid either by credit card via telephone (949-248-1632) or by mailing a check payable to:
    Jeffrey Klein, M.D.
    30280 Rancho Viejo Road
    San Juan Capistrano, CA 92675
  • $5,000 Balance is due 3 weeks prior to the course.
  • Text Book: Tumescent Technique, by Jeffrey Klein, Mosby, 2000.
    (Required reading prior to arriving in San Juan Capistrano for the course.)

Nurse’s Forms

  • Completed and Signed Enrollment Application Form     PDF
  • Signed Confidentiality Agreement     PDF
  • Signed Disclaimer Agreement     PDF