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Virtual consultations offer a convenient alternative when an in-office visit is an unavailable or infeasible option. Through the use of a HIPAA-compliant telemedicine platform, Dr. Pilest is able to provide a real-time evaluation and treatment recommendations in the comfort of a patient’s own home.

During your virtual consultation, Dr. Pilest may ask for details of your medical and treatment history, in addition to performing a physical examination of your area(s) of concern. When applicable, a nurse or other member of our Total Dermatology team may be present to aid in the facilitation and/or documentation of your consultation. Video, audio, and/or photo recordings may be taken during your consultation.


The laws regarding confidentiality of patient information and access to patient records also apply to virtual consultations. Information obtained during a virtual consultation will never be disclosed to other entities without consent, and patients have the right to obtain any information and/or recorded media for a reasonable fee.


Virtual consultations will be limited to a 15-minute maximum. It is the patient’s responsibility to be prepared and available at their chosen appointment time; a patient’s allotted 15 minutes will begin immediately regardless of tardiness. In addition, the patient is responsible for ensuring they have a proper connection and compatible device/browser. Any unexpected issues, technical or otherwise, will be assessed on a case-by-case basis, however, rescheduling and/or refunds cannot be guaranteed.

In most cases, a thorough assessment via virtual consultation is possible, however it may be limited in scope, and may not be as detailed or accurate as an in-person consultation. Dr. Pilest reserves the right to amend any information, assessment, or recommendation given during a virtual consultation, and may decline to perform any procedure in his sole professional judgment following an in-person consultation.

While the online video platform we utilize is secure and HIPAA-compliant, we are not liable for the security of your connection or device, and you may be susceptible to third-party interception and/or unauthorized access to your personal information. By consenting to participate in a virtual consultation, you are waiving Dr. Pilest and Total Dermatology from all responsibility should a breach of privacy occur.

Virtual consultations are purely cosmetic in nature, and are not intended to diagnose or treat any medical conditions, and do not constitute as medical advice.

Schedule your consultation with Total Dermatology today!

When it comes to your skin and your health, it really is all about what’s best for you. Total Dermatology understands this, which is why we offer versatile treatments with experienced and highly trained aesthetic professionals led by Dr. Nissan Pilest. Your Total Dermatology transformation awaits.

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