Patient Photo Collection (1)

  • 1. YOUR INFORMATION

  • 2. PHOTO SUBMISSION

  • Please follow the guidelines listed below when submitting your photographs. This will allow us to be best prepared to help you.


    When taking your photographs:

    • If using a phone, ensure photo setting is not on “live”
    • Take the photographs in a room with bright, natural lighting
    • Have the photographs taken from a distance of 3 – 5 feet
    • Keep the area in focus and centered in the frame

  • Full face view while holding your hair back. Ensure the full hairline and any areas of concern are visible.
    Max. file size: 50 MB.
  • Max. file size: 50 MB.
  • Full side view holding your hair back as needed. Ensure chin, temples, and top of the head are visible.
    Max. file size: 50 MB.
  • Full side view holding your hair back as needed. Ensure chin, temples, and top of the head are visible.
    Max. file size: 50 MB.
  • Grab a friend or set a selfie timer to capture the full back view.
    Max. file size: 50 MB.
  • This field is for validation purposes and should be left unchanged.
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