- In this form you will find:
- Informed Consent
- Personal Health Profile
- Disclosure Statement
- Directions on how to send form:
- Save form to your computer
- Fill out the form
- Attach in an email to [email protected]
How to Take a Picture of Your Eyes for an Online Analysis
This video will show you how to best take a picture of your eye.
When taking a photo, take separate photo of each eye and label right or left. Make sure iris is free from glare.
Send photo along with above form to [email protected]
Example of good photos
![](https://harmony4health.com/wp-content/uploads/2020/11/good-eyes-3.jpg)
![](https://harmony4health.com/wp-content/uploads/2020/11/good-eyes-4.jpg)
Example of bad photos
![](https://harmony4health.com/wp-content/uploads/2020/11/bad-eyes.jpg)
![](https://harmony4health.com/wp-content/uploads/2020/11/bad-eyes-2.jpg)