Physician Portal Registration 3 Register Your Practice In order to access the DermTech® Physician Portal, you will need to register your office. Please complete the form below and a customer service representative will contact you to complete the registration. First Name(Required)Last Name(Required)Email(Required) Phone(Required)Practice Name(Required)Address(Required) Street Address City State / Province / Region ZIP / Postal Code CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ