Rhett Drugge, M.D., Board-Certified Dermatologist
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Notice for Patient Intake Form online users

  • In here (Patient Intake Form), you will be able to upload your images.
  • Each login session for the patient intake form will only allow you to access for 30 minutes.

If you would like to upload your images (self-scan) please follow the instructions

  1. Preparation
    • A Digital Camera
  2. Taking Your Face and/or Hand Pictures
  3. Upload Your Pictures
    • Click on a provided "Patient Intake Form" link showed below.
    • Read the noticed of privacy practices and then enter the agreement code.
    • Click "I Agree".
    • Fill in all the required fields and password.
    • Click "Returning Patient".
    • Carefully make a page by page review and update of your patient intake form.
    • The system will then provided you with an upload corresponding to your medical information.

You may click HERE. to enter the PATIENT REGISTRATION SITE

Privacy Policyderm@telemedicine.org