Gift Certificate

From birthdays to holidays to any day, a Cosmetic Gift Certificate is one gift that keeps on giving. Help a friend or loved one look their best and feel great.  
Ordering your gift certificate is easy. Simply fill out the form below and we'll mail your gift certficate, redeemable towards any cosmetic procedure at CMH Surgical Services, LLC.  You can also call us anytime with questions at 434-774-2581.
Address Line 2: * City: * State: * Zip Code: * Phone Number * (Format: xxx-xxx-xxxx)   Payment Information Credit Card Type: * Name on Card: * Credit Card #: * Expiration Date: * Month   / Year Please provide phone number. It may be necessary for someone to contact you concerning the payment information provided. (must be at least 16 digits) From time to time we distribute health information that you might find useful. If you would like to receive an email regarding CMH’s upcoming events, new services and important health updates, please register today by checking the box below. Three Digit security code * Address Line 1: * Gift Certificate Recipient Information Recipient First Name Recipient Last Name Recipient Address Line 1 Recipient Address Line 2 Recipient City Recipient State Recipient Zip Code Personalize Your Gift Certificate Amount of Gift Certificate * Need Suggestions? Call us at 434-774-2581 Date of Occasion * This denotes the date that the gift will be given. Required fields indicated with * Your Information Email: * First Name: * Last Name: *