Photo Consent & Release Form

Complete this form:

This online consultation allows Dr. Antony to guide you in understanding options for the goals you have in mind. If you are interested in completing an internet consultation, please carefully follow the instructions below.

    Email your photographs to care@drantonyarvind.com

    Dr. Antony will need good quality pre-operative recent photos of yours taken from 7 angles. These should be close-ups of the face and include both side views and three-quarter views, one forward facing no expression, one forward facing smiling, and one with the head tilted back, showing the base of the nose. Please follow the examples as shown on Virtual Consultation form

    Important Note:

    Please do not forget to fill the PHOTOGRAPH CONSENT AND RELEASE FORM.
    Please click the link below to download the PDF form, sign and send it to our email ID care@drantonyarvind.com