Information submitted via this form is encrypted for privacy. It will function with most smartphones, tablets, and computers but does require basic knowledge of browser and camera function on your device. Use this secure contact form to ask general questions about services that we offer, request or change an appointment, transmit medical information such as medical history, insurance cards or photos, and if you are an established patient ask brief non-urgent medical questions that do not require an immediate reply.
This portal may also be used to upload photos of lesion(s) greater than 5 mm in diameter that you and/or your medical provider have determined require plastic surgical excision. We do not provide non-surgical treatment of lesions and we do not provide MOHS surgery. Please do not use this portal to upload photos if a decision to have a lesion surgically removed has not already been made. If you have a question about whether or not a lesion should be removed or wish to consider non-surgical treatment options, you should schedule an appointment with your primary care physician or a dermatologist. Our office does not offer skin screening or skin exams and will not review photos that are uploaded for these purposes. Please also be aware that if you are not an established patient of Restoration Plastic Surgery, P.C. that uploading photos or medical information does not create a doctor-patient relationship. While this portal allows Dr. Fremling to review your medical information in order to provide you with a cost-estimate for the services being requested, obtain insurance authorization and schedule procedures thereby avoiding an office consultation, it does not provide sufficient information to determine if the requested services are medically indicated or necessary. This determination and the establishment of a doctor-patient relationship will only be made if and when you come to the office for treatment or consultation. By using this portal, you agree to hold Dr. Fremling and Restoration Plastic Surgery, P.C. harmless and free from any liability unless and until such time as you are evaluated and treated in our office in person.
Do not use this form for emergencies or urgent questions. If you are having an emergency, please call 911 or go to the nearest emergency room. If you are an established patient and have a medical question that requires a reply within less than 2 business days please contact the office by phone. Please do not use this form for solicitations. When completing this form, please complete every field and state the purpose of your message or we will not be able to reply. If you are using this form to upload photos or medical documents please scroll down the page for more detailed instructions and alternate options for relaying information to our office.
What is the nature of your email message?
Attach up to 5 files such as medical records, photos, or other documents. (*If you are sending photos please see important photo tips below). If you have more than 5 files to upload you will need to send multiple messages.
If you are a new patient to our practice, please upload a copy of your insurance card (front and back) in addition to any other photos or documents. If you are requesting an estimate for excision of a skin lesion(s) or cancer please upload two photos of each lesion (1 close and 1 from faraway). If you have undergone a biopsy, please upload a copy of the pathology report.
Please provide the last 4 digits of your social security number (or 4 digits that you are able to remember reliably). You will use these 4 digits to open any encrypted messages that we may send to you. [e.g. rps#5555 where 5555 are the 4 digits that you have provided]
Requirements for uploading photos: If you wish to have a skin lesion or skin cancer excised, this tool can allow you to skip the office consultation by making it possible for you to relay the necessary information (including photos of the lesion(s) and insurance card(s) needed by our office to authorize and schedule your procedure. Currently, this is only available for lesions greater than 5 mm in diameter as insurance does not cover plastic surgery treatment of lesions less than 5 mm in diameter. Do not upload photos of malignant melanoma as these skin cancers must be directly evaluated in the office prior to scheduling an operation. We do not offer any non-operative treatment of skin lesions (laser, liquid nitrogen, topical medications, etc.), only surgical treatment. We also do not offer MOHS surgery.
Uploading photos to this site does not establish a physician-patient relationship. The purpose of uploading photos is to make a determination as to whether you may be a candidate for surgical treatment in our office and to provide cost estimates. A physician-patient relationship will not be established unless you come to our office for treatment. Therefore, Dr. Fremling cannot be held liable for any outcome related to any communication made through this website unless you elect to establish yourself as a patient in our practice by scheduling an appointment. Please be aware that even if you successfully upload your photos, in some cases Dr. Fremling may determine that an in-person consultation is needed prior to scheduling surgery regardless.
Technical details/troubleshooting: If you are using a smartphone or tablet please make the following adjustments prior to uploading photos:
- Establish a wifi connection (3G and 4G Broadband connections are usually insufficient for uploading encrypted photographic data).
- If you are going to upload photos, go into your camera menu and reduce the resolution of your camera (preferably to 5 mp or less depending upon the speed of your wifi connection). If you are unable to adjust your resolution, you may be able to use the selfie camera on your device instead as this typically has a lower resolution.
Photo tips: Each lesion should have a minimum of two well-lit photos: one from a sufficient distance that the location can be determined (e.g. a full face photo for a lesion on the cheek or a full hand photo for a lesion on a knuckle) and a close-up photo with a ruler next to the lesion to determine size (metric is preferred but not required). If the lesion is not visible such as a flesh-colored lesion or a cyst or lipoma below the level of the skin, a marker should be used to outline the borders of the lesion before taking the photographs. When in doubt it is better to outline the lesion.
If you are uploading photos of your insurance card please make sure to upload photos of both the front and the back of the card (2 images).
Although this program works with most smartphones, tablets, and computers, there may be technical reasons why it might not work with your device that requires technical know-how that we are unable to provide. If this is the case, you may consider the following options:
- If the program does not open the camera on your smartphone or tablet you may take photos of lesions/cards using the camera on your device first and then open this page on your browser and use the form to select and upload the photos/files stored on your device that you wish to send.
- Use an alternate device. You may use the smartphone or tablet of a trusted friend or family member or if you have access to a computer and can upload files and photos to your computer, you can open this page on your computer and upload the files from there. If you use someone else’s device make sure to delete any photos that may have been stored on their device during the uploading process.
- Schedule an office visit – no smartphone or computer required. Call 303-466-3261 to schedule an appointment. During this visit Dr. Fremling will evaluate the lesion(s), discuss treatment options and schedule surgery for a different date of service. Surgery will not be performed on the same day as a consultation. Normal office charges apply.
- Mail or hand-deliver hard copies of photos and/or documents during normal business hours. You do not need to schedule a visit to drop off paperwork and there are no charges for dropping off or mailing paperwork.
- Use standard email to send information. Presently, the government does not recommend sending private health information via standard email as it may be intercepted by a 3rd party. However, this does not mean that are not allowed to send personal information via standard email if this is your preference. You may also instruct us to communicate with you by standard email as well. However, if you choose this unapproved method, Restoration Plastic Surgery, P.C. is not liable for the loss of any of your private information to 3rd parties during transmission.
- Establish an encrypted portal with our office. To do this, contact our office, provide your email address and ask for a hushmail password (usually rps# followed by the last 4 digits of your social security number). We will email a link and a password. When you open the link, you will establish a passphrase for future communications through Hushmail. Once you have opened the link you can reply via Hushmail much as you would with a standard email however this link will encrypt any information you send to us protecting your privacy.
- Fax paperwork. This works fine for documents and insurance cards and is HIPAA-compliant but does not work adequately for photos. Our fax number is 303-466-3674.