Upload images requested by a Clinician - Springwell Medical Centre

Please do not upload images unless you have spoken to our team first.

Images will then become part of your confidential medical record and maybe shared with other health care professionals for advice. Any images sent that do not relate to the condition discussed will not be dealt with and will be deleted.

Please do not send any intimate images.

Name

First Last

Date of birth

Telephone number for us to contact you

Enter Email Confirm Email

Clinician Requesting Images

Please provide a brief history your condition:

File Upload – No more than 3 photos to be uploaded

Drop files here or

Max. file size: 1 GB, Max. files: 3.

Email Optional

This field is for validation purposes and should be left unchanged.