Home » Virtual Consultation Form

Virtual Consultation Form





How would you like us to respond?




PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US
To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.

1. Use a solid background.
2. Take one frontal photo with the face or body centered and looking straight.
3. Take at least one, preferably two profile photos

File formats accepted: gif | png | jpg | jpeg
File size limit: 12mb



We are excited to start seeing patients on June 5th! Virtual Consultations are still available > Click HERE to request yours today!
+