Telehealth Photo Uploads

Sending us your pre-telehealth visit photos is convenient and easy. Please take a moment to review the tips for taking photos below. When you are ready, please fill in the form below, attach up to (4) photos, and submit them to us.

For your privacy, your information and photos are transferred over a secure connection.

If you require assistance please call our office at (423)246-4961.

* = Required Fields

* First Name:

* Last Name:

* Phone:

* Date of Birth:

Month

Day

Year

* Please choose the type of appointment that you are submitting images for:

Dermatology

Cosmetic Consultation

* If you are an established patient please choose your location, or select "New Patient":

Kingsport

Johnson City

Bristol

New Patient

* Please upload up to (4) photos below (image files only (jpg,png,gif)):

Please note: Uploaded file names cannot contain special characters.
Characters such as: ~ ! @ # $ % ^ & * ( ) ` ; < > ? , [ ], : { } ' " \ / | in photo file names should not be used.

Photo 1: (Photo 1 is required)

Photo 2: (Optional)

Photo 3: (Optional)

Photo 4: (Optional)

Please describe the location of the uploaded pictures.
For example: "lower left arm", "upper right back and shoulder", "left cheek", etc.
Message limit - 150 characters:

You have characters remaining.

* Photos may take several seconds to upload. Please only click the Submit Button one time.