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Virtual Consultation

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Personal information

Full name

Email

Phone

Age

60 years

Gender

Medical information

What am I interested in?

Select the procedures of interest.

Photos

  1. Between 3 - 5 photos are required.
  2. Use a solid background preferably.
  3. Depending on the procedure; Take or select the photo as indicated by the silhouettes (profile, front).
  4. The selected photos must be in JPG, PNG or JPEG format.
  5. For a better review the following positions are recommended: