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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, you can review and sign the online consent form by clicking here, or download the PDF consent form by clicking here.

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, you can review and sign the online consent form by clicking here, or download the PDF consent form by clicking here.

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:
Click here to order online
or download the PDF form here.

National Biological Phototherapy:
Click here to order online
or download the PDF form here.

Aquex Iontophoresis:
Click here to order online
or download the PDF form here.

Payments

Dermitech offers convienent and flexible choices for your payment