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Enroll me in Brilliant Distinctions

Brilliant Distinctions is a program available to Botox clients of SkinHealth

Once enrolled, you will begin to acculate points every time you have a Botox treatment at SkinHealth Centers.

Note: by filling out this form and submitting this form, you are giving permission to SkinHealth Centers to enroll you in Allergan's Brilliant Distinctions Program. Also, from time to time you may receive an e-mail from Allergan.

First Name *

Last Name *

E-mail (This address will be used for correspondence regarding the Brilliant Distinctions program) *

Phone *

Address *

City *

State *

Zip *

Choose which SkinHealth office you usually visit for your Botox treatments. (You may go to either office and it will not affect your points or reward status.) *

You May Also Call Us!

You may also call us between the hours of 9:30 am and 6:00 pm

Boston: 617-267-7546

Wellesley Hills: 781-431-7880

(or toll free at 877-705-7546 )