Teledermatologist

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Patient Registration Form

Getting Started

Before we can do a Teledermatologist consultation, there’s some paperwork that needs to be filled in.

As a practice manager, receptionist, nurse or administration officer, please provide patients with a copy of the following document.

Ideally the best time to provide them with a copy of the form is as soon as they inform you that they need to be referred to a specialist. As this provides them with the maximum amount of time to read through, process & fill out the form.

If you’re a patient & you’re using our Teledermatologist services directly, then you can also download & use the below ‘Patient Registration' Form’.



Offline Option


Online Option

OR