Virtual Check-in

Filling in this information will help Dr. Ellen gain more insight about you before your consultation is scheduled.

  • Please use the upload button below to upload photos to send to us:
  • To make the most out 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.
    Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

    By checking this box you hereby agree to hold Dr Ellen and affiliates harmless from any hacking or any other unauthorized use of your personal information by outside parties.