Consultation Request

Please include any images that you would like Dr. Temmen to review. For best photo quality:

• Choose a solid background
• Take a front-facing photo, centering your face and/or body
• Provide profile images from each side

*Communications through our website or via email are not encrypted and are not necessarily secure. Use of the Internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. This form is not HIPPA compliant and all information and/or photos submitted are voluntary and for your convenience.