Submit a Request Online for a Free Consultation

If you are interested in any of our treatments or services, or you would like to make an appointment, please give us a call: (571) 424-7537 or complete the form below to submit your free consultation request.


For a more detailed evaluation, please complete the entire consultation form below.


  Yes       No

  Laser Hair Removal    
  Rosacea/Diffuse Redness     
  Skin Tightening    
  Toenail Fungus    
  Pigmented Lesion Removal    

  Black       Brown       Reddish-brown       Light-brown       Light-blond       Red       White       Grey    

  Female       Male    

  Upper Lip    
  Chin    
  Neck    
  Under Arms    
  Full Body    
  Arms    
  Shoulders    
  Upper Back    
  Lower Back    
  Chest    
  Skin Tightening    
  Abdomen    
  Pubic Area    
  Buttocks    
  Upper Leg    
  Lower Leg    


  Type I: Always burns, never tans
  Type II: Always burns, sometimes tans
  Type III: Sometimes burns, always tans
  Type IV: Rarely burns, always tans
  Type V: Brown, moderately pigmented skin
  Type VI: Black/ Very dark brown skin

  Yes       No

  Yes       No       Not Sure



Call Us Today!

CALL: (571) 424-7537
E-MAIL: info@novahairlaser.com