Patient Orders
Patient
Orders
The friendly professionals at Dermitech work closely with you and your physician to ensure you receive an effective home treatment solution with the lowest expense.
You will receive the right equipment for your diagnosis. We handle all of the paperwork, delivery, installation, training and follow-up.
Your job is to discover a new level of wellness
Equipment
Orders
The order process is simple and can be mostly completed online
Equipment
Orders
The order process is simple and can be mostly completed online
The first step for any equipment order is for the completion of a Patient Consent form. This allows us to check benefits and communicate with your doctor regarding your order. If you did not complete a Consent form at the clinic, please choose one of the options below:
The first step for any equipment order is for the completion of a Patient Consent form. This allows us to check benefits and communicate with your doctor regarding your order. If you did not complete a Consent form at the clinic, please choose one of the options below:
After we receive the Patient Consent Form, Dermitech will check your benefits (if requested) and contact you to discuss your options. The Dermitech representative will advise you to then fill out one of the following order forms to complete the order process.
After we receive the Patient Consent Form, Dermitech will check your benefits (if requested) and contact you to discuss your options. The Dermitech representative will advise you to then fill out one of the following order forms to complete the order process.
Daavlin Phototherapy Order Form
National Biological Phototherapy Order Form
Aquex Phototherapy Order Form
Payments
Dermitech offers convienent and flexible choices for your payment
Dermitech Payments and Financing
Use PayPal, Debit or Credit Card
CareCredit
Dermitech offers financing through CareCredit.
Six months no-interest and long-term financing is available. Click on “Pay Now” to use this option.
Pay by Check
We accept personal checks. Be advised there is $40.00 fee for returned checks.