Please attach photos of the areas in which you are seeking treatment.

Here are some guidelines to follow:

• Provide multiple angle pictures of the areas in which you are seeking treatment

• For areas that are normally covered by clothing, please be sure to remove your clothing to expose the areas of concern

• For privacy purposes, do not expose your face with any pictures of a private nature (i.e. - genitalia, breasts, buttock, etc.)

YOUR PRIVACY IS OF THE UTMOST IMPORTANCE TO US