Please upload your patient photos using this form

In addition to uploading patient photos please fax a referral form to the office and indicate photos have been sent

Accepted file types: jpg, jpeg, png, gif. Click submit once all images have finished uploading.
Please ensure a completed patient referral is also sent to our office by fax to accompany any uploaded photos. Referrals will only be processed once accompanying referral is received by fax.

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