2. 1) Click “new case” when you log in and this page will appear 2) Complete this page and click “Pay now”

3. Fill information out and click here

4. Review order and click here

5. Click here to return to the THICM website and your case

6. 1) Complete this page and click “save demographics” 2) Click “history”

7. 1) Complete this section and click “save history” 2) Click “Physical Exam”

8. 1) Complete page and proceed as on previous screens; 2) Save Physical Exam; 3) Click Genital Exam

9. 1) Complete page and proceed as on previous screens

10. 1) Complete page and proceed as on previous screens; 2) Save Anal Exam; 3) Click Images

11. 1) Click Browse. A window will pop up in the left corner for you to select your photo files and upload (just as you would with an email attachment) 2) When your photo files are visible like this, you can upload more or move on to the next step

12. 1) Complete page and proceed as on previous screens; 2) Choose your diagnostic impression 3) Click Save impression

13. Click logout. Your case has now been sent for review.

14. When your review is ready…

15. You will receive an email like this when your case has been reviewed. Click on the link to log in to THICM to view your review

16. Click “edit” to put in your final impression

17. Click save when done completing this page

18. Click “close case” to close your case out. THIS STEP MUST BE COMPLETED.

19. Choose a “close case” button based on your agreement with your review- this will direct you to a post-review survey

20. You will be directed to this survey when you click on the close case button as seen on previous slide. Please complete this survey.