Cosmetic mole removal: medical history and photo upload form

Before you visit us

Complete this form if you have booked an appointment for a cosmetic mole or skin lesion removal, or if you would like your mole or skin lesion to assessed by a doctor. It will help us decide whether your mole/skin lesion is suitable for cosmetic removal and whether our proposed treatment is safe for you.

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. Learn more on  how to photograph your moles.