Techniques for automated alignment of image capture of physical ailments are described. A method of automated alignment of image capture of physical ailments includes determining an alignment class of a first image of an object using an alignment classifier executing on a user device, providing alignment instructions based on the alignment class and a reference image associated with the object using at least one machine learning model executing on the user device, obtaining an aligned image of the object after the user device has been repositioned relative to the object based on the alignment instructions, and sending the aligned image to an agent device via a telemedicine service of a provider network.