VBF Experts Form

Please complete the form below and the VBF Expert will respond to you directly. View our VBF Ask the Expert page for complete information about our volunteer VBF Ask the Expert service.

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Patient Name*
Address
City State / Province / Region Country
Image Upload
It is very difficult, if not impossible, for our experts to make a recommendation without a photo of the lesion in question. Please attach one photo so that our expert can assess the best options. If you cannot attach a photo, please provide a detailed explanation of the color, size, location and history of the lesion with your question. However, be prepared that the expert may request a photo to support his/her recommendations or may not be able to provide a recommendation without seeing a picture.
Drop files here or

Accepted file types: gif, png, jpg, jpeg, Max. file size: 8 MB.
Comment or Question
Mailing List
- Join Our Mailing List for latest developments, updates, support, and other information from VBF. You can opt-out at any time.
Certify Acceptance*
- I certify that I have read and consent to the VBF HIPAA and Privacy Policies.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

The Vascular Birthmarks Foundation

Dr. Linda Rozell-Shannon, PhD President and Founder