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Virtual Consultation Request Image Requirements

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Upload Requirements

Image Upload Requirements

Upload Images. *

Follow These Photo Guidelines

Please provide 4 clear, well-lit photos wearing a thong undergarment. Be sure that the areas of interest are fully visible, so that our medical provider can complete a thorough assessment. Provide a total of 5 photos wearing undergarments.

* 1 Full Body Frontal View

* 1 Full Body *Back* View

* 1 Full Body Left Side View

* 1 Full Body Right Side View

Submit your request form now [click here] to see example of how to take photos. 

Please make sure photos are clear and taken in bright lighting. If possible, have someone take the photos for you to ensure full body framing.

**Confidential Notice:** All Photographs Submitted Are Protected Health Information (PHI) under the Health Insurance Portability and Accountability Act (HIPAA)

By submitting this form I agree to be contacted by NuRemedy Wellness.

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We specialize in precision injectables, advanced skin treatments, medical weight optimization, hormone therapy, IV infusions, and personalized wellness solutions — Expertly curated to refine, restore, and elevate — so you can radiate confidence.

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