is an exciting partnership designed to support new physicians, like you, transitioning to new medical practices.*
This special opportunity provides substantial savings on select Allergan Aesthetics products and programs.
Learn more about the Rising Star Program by downloading the brochure below.
*Program is available only to physicians 0 to 24 months out of residency.
Please provide the information indicated below. Once you've finished your medical training, you can begin taking advantage of the program benefits. It's that simple.
Open to US physicians only.
†Indicates a required field.
|
|
|
|
First name†
|
Middle name
|
Last name†
|
Medical license†
|
Address 1†
|
Address 2
|
City†
|
State†
|
ZIP†
|
Mobile phone number†
|
Email address†
|
Password†
|
Specialty†
|
Have you completed a fellowship program through the American Academy of Facial Plastic and Reconstructive Surgery?*
|
The Rising Star Program is open only to AAFPRS Fellows, or
Full Members who have completed their fellowship within the
last 12 months. For more information on becoming a Full Member
of the AAFPRS, call 703.299.9291
|
Current postgraduate year†
|
Projected date of residency or fellowship completion (MM/DD/YYYY)†
|
Projected start date in practice
(MM/DD/YYYY)†
|
|
|
|
|
By clicking Submit below, you begin your enrollment process. An Allergan Aesthetics Customer Service representative will be in touch with you shortly to help you create an account with Allergan Aesthetics.
|
|