How To Order
The order process is simple and can be mostly completed online
HOW TO ORDER
The order process is simple and can be mostly completed online
A 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:
A 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
Kernel Phototherapy Order Form
National Biological Phototherapy Order Form
Daavlin Phototherapy
Online Order Form
Download the
Daavlin PDF Order Form
Kernel Phototherapy
Online Order Form
Download the
Kernel PDF Order Form
National Biological Phototherapy Online Order Form
Download the
National Biological PDF Order Form
Payments
Dermitech offers convienent and flexible choices for your payment

Dermitech Payments and Financing
Use PayPal, Debit or Credit Card
You do not need a PayPal account to use your card.
PayPal also offers financing options to consider.
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.