Explore our Privat Clinic Integration Option

This is fully tailored to you and your team.

Please complete the short form below and we'll follow up with available dates, pricing and everything you need to secure your place.

Our Private Clinic Integration is fully tailored to what you need.

Complete the form below and we'll be in touch with available dates, pricing, and everything you need to know to secure your spot. We review all inquiries personally, please fill out each field accurately so we can match you with the right training date and ensure it's the right fit for where you are in your career.

Thank you.

The Team from The American Fibroblast Academy

First Name *

Last Name *

Business Name *

Instagram Account *

Phone Number *

Email *

City, State, Country *

How many Years have you been in business? *

What Services do you currently offer? (Your top 5)

Service 1
Service 2
Service 3
Service 4
Service 5

What is your Professional Background? *

Licensed aesthetician or beauty therapist

Registered nurse / nurse practitioner

Physician / medical doctor

Permanent makeup or cosmetic tattoo artist

Business owner / clinic manager (non-medical)

Do you currently work under or with a medical director (MD)? *

Yes, I already have a supervising MD

Not yet, but I’m in the process of securing one

No, I operate independently

Unsure what’s required in my state

What is your current Monthly Business Revenue? *

Under $5,000/month

$5,000–$10,000/month

$10,000–$20,000/month

$20,000–$40,000/month

Over $40,000/month

Approximate figure - helps us understand your current business structure and stage.

What is your desired additional Monthly Revenue from Fibroblast? *

$2,000–$5,000/month

$5,000–$10,000/month

$10,000–$20,000/month

Over $20,000/month

Approximate figure - this helps us understand your goals.

How familiar are you with Fibroblast Skin Rejuvenation? *

I’m completely new to it
I’ve heard about it but haven’t trained
I’m trained in a device or method
I’m already offering it but seeking advanced training
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What made you interested in exploring Fibroblast now? *

How many Employees are you thinking of having trained in Fibroblast *

Me plus one team member

Just my team member

2-5 employees

5+ Employees

If accepted, when would you ideally like to attend the in person Fibroblast training? *

As soon as possible

Within the next 2–3 months

Within the next 6 months

I’m still exploring and gathering information

Our training programs include upfront, financing and in-house interest-free payment options. To help us guide you appropriately, please select the option that best reflects your current situation. *

I have funds set aside and am ready to invest if suited

I’m interested in learning about in-house interest-free payment options

How much are you ready to invest in your Fibroblast Training? Do you have certain dollar value in mind? *

Do you have any other questions we can answer for you *