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DERMAGRID IMAGE ANALYSIS
Please fill out the following information to generate a dermal nutrient report.
9
Questions
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1
Professional User
*
This field is required.
First Name
Last Name
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2
Professional Email
*
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example@example.com
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3
Client Name
*
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First Name
Last Name
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4
Client Age
*
This field is required.
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5
Image Area
*
This field is required.
Face
Hand
Face
Hand
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6
Report Type
*
This field is required.
Please indicate the type of report(s) you would like to generate.
Basic Report
Basic + Pro Report (charges will apply)
Basic Report
Basic + Pro Report (charges will apply)
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7
Upload Image
*
This field is required.
Please ensure the image quality prior to uploading by checking the following standards: 1) Image Clarity [not blurry] 2) Correct Defined Area 3) Correct Distance [not too close or far away]
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Browse Files
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8
User Agreement
*
This field is required.
Please review
Terms and Conditions
and
Policies and Procedures
of Dermagrid by clicking the links.
I, the subscriber, agree to the terms and conditions and policies and procedures of DermaGRID.
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9
Signature
Clear
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