Ultherapy® Patient Profile Please leave this field empty. What’s the best time of day to reach you? MorningAfternoonEvening Please check the boxes beside the items below to indicate that you have reviewed, understand, and agree to these terms: I am at least 18 years of age. I understand that I will receive confirmation emails at the email address disclosed as well as a phone call or text to the phone number disclosed to discuss Ultherapy and my skin lifting and tightening concerns. I allow Ultherapy and Merz North America to send emails to this address and to call or text the phone number. I consent to provide my contact information to Merz North America and its business partners and the physician I select when discussing my skin lifting and tightening concerns with the Ultherapy Concierge. I read and understand the Merz North America, Inc. Terms of Use and Privacy Policy. Your submission has been processed. Thank you for your interest in Ultherapy®!