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Skinmap
Together, We Can Conquer Skin Cancer
Skinmap
For Clinicians
For Patients
Request Information
News
hello@skinmap.com
Skinmap
For Clinicians
For Patients
Request Information
News
hello@skinmap.com
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Customer Intake
Tell Us About Yourself and Your Practice
Please fill out the entire form to help us better understand your needs.
Contact Information
Your Name *
Title / Role
Work Email *
Phone *
Practice / Organization *
Practice Address *
City *
State *
ZIP *
How’d You Hear About Us?
Have you spoken with someone at Skinmap before? *
— Select —
Yes
No
Who?
Were you referred to Skinmap by another provider?
— Select —
Yes
No
Who?
Please Tell Us a Little About Your Practice
Practice Website
Patient Pay Types
— Select —
Self-pay
Insurance
Both
Practice Ownership Type
— Select —
Solo
Independent Group
Private-Equity Backed
Number of Providers *
Number of Locations *
Are all locations in the same city?
— Select —
Yes
No
Are all locations in the same state?
— Select —
Yes
No
Usage
Skin checks performed per week or month?
We’ll convert monthly to weekly for internal planning.
Period
Per week
Per month
Skins Checks performed by…
— Select —
Myself
At this location
Across all locations
Let’s Get You Set Up
A Skinmapper = iPhone Pro or Pro Max + a Ring Light.
We recommend at least 1 scanner per location, and typically 2 scanners for every 3 providers.
How many Skinmappers will you need?
What’s your Wi-Fi speed?
If unsure, test it here:
Google speed test
Onboarding
Are you interested in Remote Onboarding?
— Select —
Yes
No
Are all your providers able to train at one site?
— Select —
Yes
No
Unsure
I agree to be contacted about onboarding and next steps. *
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