File Submission – Doctors

Please use the following form to submit any files that will help us with your patient’s health care. There is no limit for file types and you can upload multiple files at the same time.

Salutation Dr.Mr.Mrs.Ms.

First Name *

Last Name *

Phone Number *

Email Address *

File Upload *

Drop a file here or click to upload Choose File

Maximum upload size: 268.44MB

(You can upload multiple files at the same time.)

Additional Comments

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