Virtual Consultation Information

Virtual Consultation Information
VIRTUAL CONSULTATION INFORMATION
Thank you for your interest in Female Pelvic Health Center & MedSpa. We understand that distance is a key factor in your decision when choosing your surgeon.

SECURE SUBMISSION

Please see the directions below if you would like to securely submit your photos for review by Dr. Molden:

Photo Instructions:
Turn your camera to forward-facing view
Set camera timer to 3 seconds or 10 seconds
Take 2 pictures while on your back with your legs open (as if you were on an exam table)
Take 1 picture in your normal standing position
*It is important not to pull or distort your skin*

Upload 3 photos:
File Upload - Max File size 3 MB - allowed types: jpg, jpeg, png, pdf

Cancelof
File Upload - Max File size 3 MB - allowed types: jpg, jpeg, png, pdf

Cancelof
File Upload - Max File size 3 MB - allowed types: jpg, jpeg, png, pdf

Cancelof
Name

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Address

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certify that I am 18 years of age or older, and understand that I am submitting these photos of my own accord, soley for the purpose of medical evaluation.
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