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1000 North Davis Drive | Arlington, Texas 76012 | 817-461-1693 | CLICK HERE FOR MAP >

*First Name:
*Last Name:
*Email:
Phone Number:
*Preferred method of Contact	Phone Call
	Give a daytime number. We will say, “Chili Robinson wants to speak to ... about a private matter.”
	Email
	Dr. Chili cannot discuss secure information on the Internet, but an appointment can be made.
	U.S. Mail
	Give us your address in the comments box below.
*Best time to call:
	I would like information about the following Plastic Surgery Procedures:
	Breast Implants / Enlargement
	Breast Reduction
	Breast Lift
	Ear Surgery (Otoplasty)
	Eyelid Plastic Surgery (Blepharoplasty)
	Brow Lift
	Facelift
	Skin Rejuvenation
	Liposuction
	Tummy Tuck (Abdominoplasty)
	Other (please specify below)
	*Mandatory Fields