Patient Opt-in Form


If you are reading this form, you have previously made the decision to opt out of having your de-identified data contribute towards training our algorithms. If you are reconsidering your choice, we’d like to take this opportunity to emphasize that any data utilized by DermEngine intelligent tools will remain secure and de-identified, which means that all identifiable information such as name, date of birth, health ID number, and email have been removed.

By completing this form, you and your doctor will have access to the smart features of DermEngine which means that you consent that your de-identified may be used for improving DermEngine’s algorithms

Please fill out the following information to opt back in: