This form is for people who have booked an appointment for cosmetic removal of a mole or skin lesion or would like to have their mole or skin lesion assessed by a doctor before booking a cosmetic mole removal appointment. Please ensure that you have high quality photos of the mole(s) you wish to have removed. Photos should be in focus and well lit without glare. For more information about how to photograph your moles, see our page about photographing your own moles.
Before you visit us for your mole removal…
If you are considering having a mole or other skin lesion removed, please complete this form. It will help us decide whether your mole/skin lesion is suitable for cosmetic removal and whether our proposed treatment is safe for you.