The Pakistan Association of Dermatologists now offers the application of advanced telecommunication technologies to dermatologic education and practice. This is an application area of great potential importance. Formalization of the process of case submission is the first stage in a careful study of the effectiveness Teledermatology as both a distance learning and telemedicine application. We invite you to submit your cases and welcome any comments regarding the submission format. 

Referring Physician(s):

Dermatologist That You Wish To Consult (options):

Patient's Date of Birth (Month/Day/Year):

Sex:

REASON FOR SUBMISSION OF CASE:

Stating the purpose of your submission of this case will allow more detailed analysis as to whether your goals were met by presenting your case in this format. Possible reasons might include:

•  Presentation for diagnostic assistance 

•  Presentation of a case for therapeutic assistance 

•  Presentation of unusual clinical manifestations of a common disease for educational    purpose 

•  Presentation of a classic case of a rare clinical entity for educational purpose 
  

A signed Photographic Consent Form is required for processing, please click here to download the form.  Kindly fax the Signed form to PAD.