Physician Portal

Photographs submitted through this portal are intended to aid in patient triage and consultation. Images submitted without a faxed referral letter or pending appointment will not be processed.

Patient Name*
Referring Physician*
Upload 1 or 2 Photos*
Click "Select files" to upload an image from your phone or computer. Repeat if adding a second image. Click the red x to remove an image. Click "Submit" after you have finished uploading your image(s).
Drop files here or

Accepted file types: jpg, jpeg, png, gif, Max. file size: 8 MB, Max. files: 2.
For physician submissions, please ensure a standard faxed referral is also sent. Referrals will only be processed upon receipt of faxed documentation.

For patient submissions, please note that images will only be reviewed at the time of phone consultation. Other images submitted will not be processed.

After selecting your photos, click the submit button and wait while the files are processed. Please do not click submit twice or navigate away from this page until the processing is complete.