Dermatologists

Enter the Members ID

If you are the primary care giver then enter your ID here.

Select the requested consultants jurisdiction. San Diego County California USA Canada Mexico Europe World Wide

Does the member provide written permission to share their medical record for the purpose of a professional consultation on their specific problem? YES, or NO

What is the reason for the consultation?

Example Reasons Consultation Examples

What is the pertinent history of the present problem?

Example symptoms Consultation Examples

What are the pertinent physical, laboratory, and radiological findings?

Example findings Consultation Examples