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Home » About Our Plastic Surgery Practice » Virtual Consultation Form

Virtual Consultation Form








PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US
To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.

1. Use a solid background.
2. Take one frontal photo with the face or body centered and looking straight.
3. Take at least one, preferably two profile photos

File formats accepted: gif | png | jpg | jpeg
File size limit: 3mb

PHOTO/S:*




By checking this box you agree to the Terms of Use listed here*

Membership Matters

David J. Levens M.D.
David J. Levens M.D.
David J. Levens M.D.
David J. Levens M.D.
David J. Levens M.D.
David J. Levens M.D.