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Home / Telehealth / asynchronous telehealth

Store-and-forward telehealth and the rise of smarter direct-to-consumer care

Learn more about what store and forward telehealth is, how is impacting direct-to-consumer healthcare, and its benefits for healthcare providers and patients.

Medical Content Writer Jennifer Highland
Written by:
Jennifer Highland
Medical Content Writer

Table of Content:
The limitations of traditional telehealth in a DTC world | So, what is store and forward telehealth? | Why store-and-forward powers the DTC healthcare revolution | Store-and-forward telehealth in dermatology | Miiskin’s approach | Real results | Patient demand for asynchronous telemedicine | Get started with Miiskin | FAQ


Direct-to-consumer healthcare is undergoing a quiet but profound shift. While much attention has been placed on live video visits and virtual clinics, the real transformation is happening asynchronously.

Store-and-forward telehealth (also known as asynchronous telemedicine) has emerged as the backbone of scalable, patient-centered DTC care. By removing the requirement for real-time consultations, this model delivers what modern patients and clinicians value most: flexibility, efficiency, and better use of time.

This flexible, patient-driven approach is gaining significant momentum as companies like Miiskin, Curology, Nurx, Hers, and Hims challenge traditional healthcare delivery systems. 

At Miiskin, store-and-forward teledermatology isn’t an add-on, it’s the foundation of how we make high-quality dermatology more accessible, sustainable, and clinically effective.

The limitations of traditional telehealth in a DTC world

Live video consultations were an important first step in digital care. But they still rely on synchronized schedules, creating bottlenecks, and replicating many of the inefficiencies of in-person visits.

For patients, this means waiting for appointments that may last only minutes. For clinicians, it means fragmented workflows, calendar pressure, and reduced scalability.

As consumer expectations evolve, healthcare delivery must move beyond “virtual appointments” toward intelligent, asynchronous systems designed around real clinical workflows, not live video calls.

So, what is store and forward telehealth?

Store-and-forward telehealth is a form of asynchronous care where patients submit clinical information (such as medical histories, questionnaires, or high-quality images)  through a secure platform. A licensed clinician reviews the case at a later time and responds with a diagnosis, treatment plan, prescription, or follow-up guidance. There is no requirement for the patient and provider to be present at the same time.

Core characteristics of store-and-forward care

  • Asynchronous by design – Care happens on the clinician’s schedule, not the calendar.
  • Data-driven – Ideal for specialties that rely on visual or documented evidence.
  • Secure and compliant – Built to meet HIPAA and privacy regulations.
  • Clinically efficient – Removes unnecessary steps from diagnosis and follow-up.

This model is particularly well suited to dermatology, a specialty where most conditions can be accurately assessed through structured information and images.

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Why store-and-forward powers the DTC healthcare revolution

For patients, a store-and-forward telehealth consultation through Miiskin means care on their terms. They can request treatment anytime, without scheduling appointments, while gaining access to personalized prescription medications, transparent pricing, and convenient home delivery.

Key patient benefits include:

  • Access to specialists – Receive care from a board-certified dermatologist without the need to commute.
  • 24/7 convenience – Submit cases and request care whenever it fits your schedule.
  • Faster treatment – Asynchronous review enables quicker diagnoses and treatment plans.
  • Lower costs – Fewer in-person visits and no travel reduce overall healthcare expenses.
  • Greater privacy – Discreet care for sensitive skin concerns.
  • Ongoing support – Simplified follow-ups and long-term condition management.
  • Pharmacy choice – Prescriptions can be sent to any pharmacy nationwide.
  • Access to compounded medications – Transparent pricing makes care predictable: most Foothills formulas are $48.99, with advanced options at $58.99 and $68.99.
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Dermatology: the natural home of store-and-forward telehealth

Among all medical specialties, dermatology stands out as the most effective and widely adopted use case for store-and-forward care.

Skin conditions are inherently visual. With high-quality images and structured clinical intake, dermatologists can confidently diagnose and manage the majority of non-urgent cases without live interaction.

While store-and-forward is also used in radiology, pathology, ophthalmology, and wound care, dermatology remains the most mature, scalable, and patient-friendly application, especially in the DTC space. This is exactly where Miiskin focuses.


Miiskin’s approach: asynchronous care built for dermatologists

Miiskin was designed from the ground up to support how dermatologists actually work, not how generic telehealth platforms assume they work.

Instead of forcing clinicians into rigid schedules or video-first workflows, Miiskin enables:

  • Flexible case review on your own time
  • High-quality asynchronous consultations at scale
  • Continuity of care through ongoing patient follow-up

Why dermatology clinics choose Miiskin

  • Treat more patients without extending clinic hours
  • Turn downtime into billable care
  • Reduce administrative burden and no-shows
  • Maintain clinical autonomy and pricing control
  • Compete with large DTC brands, under their own name, with Miiskin’s marketing support

Asynchronous teledermatology isn’t just efficient. It’s sustainable.

Real results: What dermatologists are saying about the joining Miiskin network

Miiskin is already helping dermatologists in the U.S. modernize their practices and grow their patient base with ease.

“Miiskin has connected me with thousands of patients, allowing me to deliver high-quality asynchronous care at scale. Whether patients are in rural areas or large cities, I can treat them efficiently without the limitations of a fixed schedule. This flexibility not only improves my workflow but also drastically reduces wait times for patients. Miiskin makes dermatology more accessible, efficient, and truly patient-centered.”

— Dr. Anna Chacon, Board-Certified Dermatologist, with license in all 50 states.

“What drew me to join the Miiskin network wasn’t just the technology — it was the way it understands the way dermatologists actually work. Asynchronous teledermatology gives me the flexibility to review cases on my own time. The platform is intuitive, secure, and purpose-built for dermatology, which means I’m not wasting time adapting to a generic system. Miiskin supports real continuity of care — I can monitor patients’ progress over time, respond quickly when needed, and maintain a level of efficiency that just isn’t possible in a traditional in-office setup. It’s a smarter way to practice.”
— Dr. Ryan Trowbridge, Board-Certified Dermatologist with license in CA, CT, NE and IL.

Patient demand for asynchronous telemedicine via Miiskin

Each year, thousands of patients turn to Miiskin looking for fast, expert care from a dermatologist. These are motivated, tech-savvy patients who prefer online consults over long wait times and travel. By joining the Miiskin network, you’re placed directly in front of this growing audience and can accept as many or as few new patients as you like.

Demand snapshot:

  • Thousands of patients use Miiskin annually
  • Collectively, the dermatologists in the Miiskin network have conducted over 50,000 consultations online
  • 40% of Miiskin patients are repeat customers

Offering asynchronous telemedicine consultations via Miiskin fits into your workflow seamlessly

The Miiskin asynchronous telemedicine platform was built for dermatologists to support your practice. Whether you want to use it for new patient acquisition, medication renewal visits, or triage, it easily integrates into your daily routine.

Key workflow advantages

  • No complex tech setup or EHR changes required.
  • Accept and review cases when your schedule allows.
  • No training needed, start seeing cases right away.
  • Control your price, availability and response time.

Transparent pricing & compliance, built for dermatologists

Miiskin gives you full control over your pricing and your practice. Set your own consultation fees and keep the majority of the revenue—only paying a flat $10 fee per case. Plus, all data is encrypted and HIPAA-compliant, so you can practice with confidence.

At a glance

  • You set your own consultation rate.
  • Flat $10 usage fee per consult—no subscriptions or hidden charges.
  • All communications are secure and HIPAA-compliant.
  • Revenue is deposited directly into your account.

Get started with Miiskin

Miiskin makes it simple to start offering asynchronous dermatology services while growing your patient base and income on your own terms. With high patient demand, flexible case volume, and a provider-first pricing model, there’s never been a better time to go digital.

Getting started is risk-free. There are no monthly fees or long-term commitments, just a simple pay-per-consultation model. You pay a $10 flat fee, set your own consultation price, and keep control of how and when you practice.

Book a free consultation today to see how Miiskin can help you modernize your practice, reach more patients, and lead the future of dermatology care.

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Get started with Miiskin

Get started with Miiskin risk-free! No subscriptions, just a simple $10 flat fee per transaction. Deliver secure, efficient, prescription-enabled dermatology care on a virtual-first platform.

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FAQ about store and forward telehealth

Got more questions? Read below.

What is store and forward telehealth?

Store and forward telehealth is a form of asynchronous telemedicine where medical information (such as images, lab results, or patient histories) is collected and securely transmitted to a provider for review at a later time.

What are some popular asynchronous telemedicine services in the United States?

Several popular asynchronous telemedicine services in the U.S. include Miiskin, Nurx, Hims & Hers, Sesame, Rory, and Lemonaid Health. These platforms focus on accessible, non-emergency care such as dermatology, sexual health, mental health, and routine prescriptions. Patients typically complete online questionnaires or upload photos, which are then reviewed by licensed providers who respond with diagnoses or treatment plans, eliminating the need for live consultations.

Is store and forward telehealth the same as asynchronous telemedicine?

Store and forward telehealth is a form of asynchronous telemedicine, but the two terms aren’t exactly the same. Asynchronous telemedicine refers to any type of care where the patient and provider don’t interact in real time. This includes methods like secure messaging, patient portals, or completing digital intake forms.

Store and forward telehealth is more specific—it involves collecting medical information (such as images, lab results, or symptom questionnaires) and then sending it to a healthcare provider to review at a later time. This method is commonly used in specialties like dermatology and radiology, where visual or diagnostic data can be reviewed without a live consultation.

So, while all store and forward telehealth is asynchronous, not all asynchronous telemedicine relies on the store and forward model.

How does asynchronous telemedicine differ from live video visits?

Asynchronous telemedicine doesn’t require real-time interaction. Patients submit their information, and healthcare providers review it when convenient, unlike live video consultations that happen in real time.

Which medical specialties use store and forward telehealth?

Store and forward telehealth is widely used in dermatology, and in some cases in radiology, pathology, ophthalmology, and wound care, fields where clinical data can be reviewed without needing a live visit.

Is asynchronous telemedicine secure and private?

Yes. Asynchronous telemedicine platforms, like Miiskin, are designed to meet strict data privacy standards, including HIPAA compliance in the U.S., with secure, encrypted transmission of all patient information.

Will I still need an in-person appointment?

Sometimes. While store and forward telehealth is ideal for non-critical issues and medication renewals, more complex cases may still require an in-person visit to a dermatology clinic.

How fast will I get a response in store and forward telehealth?

Most consultations conducted over the Miiskin platform provide feedback, diagnoses, or treatment plans within 12 to 72 hours, depending on the provider and condition.

Can providers prescribe medication through asynchronous telemedicine?

Yes. If appropriate, dermatologists can issue prescriptions to any pharmacy in the country. Furthermore, if patients are interested in a customized formula for their skin, they can choose Foothills as their preferred pharmacy and order their medication right on Miiskin.

Is store and forward telehealth covered by insurance?

Most direct-to-consumer companies offering store and forward telehealth operate outside of insurance, so patients typically pay out-of-pocket. However, the fees are usually affordable and often comparable to a standard in-person co-pay, making asynchronous telemedicine a cost-effective option for many.

What information should I submit for asynchronous telemedicine?

Patients will be asked to upload photos of their skin issues, answer health questionnaires, and in some cases, send lab results.

What are the costs of a sotre-and-forward telemedicine consultation?

Store-and-forward telemedicine is far more affordable than in-person visits, which can cost between $150 and $300. With Miiskin, new patient consultations are just $59, and medication renewals are only $39, often less than the average in-person copay of around $75.

Who benefits most from store and forward telehealth consultations via Miiskin?

Miiskin is ideal for tech-savvy patients who want dermatology care on their own terms, without sacrificing choice, quality, or continuity.

These patients value the ability to:

  • Choose their dermatologist – Work directly with a board-certified dermatologist, not a nurse or physician assistant.
  • Maintain continuity of care – Consult with the same doctor over time for consistent, informed treatment.
  • Access care flexibly – Request care anytime, without appointments or live visits.
  • Select their preferred pharmacy – Fill prescriptions at the pharmacy of their choice.
  • Personalize treatment options – Choose between oral, topical, or compounded medications that align with their medical needs and budget.
  • Get care for their children – Manage pediatric dermatology concerns even with busy family schedules.

 

Are you a dermatologist who wants to learn more about teledermatology?

Check out our articles on Teledermatology

8 Top dermatology platforms with integrated prescribing in 2026

Teledermatology: Bridging the gap in dermatological care

Miiskin the future of teledermatology: What four dermatologists learned firsthand

How store and forward telehealth supports direct-to-consumer healthcare

7 Teledermatology apps doctors should know about

5 Teledermatology companies to choose from based on your needs

Choosing the right teledermatology software

A Clinician’s Guide on Dermatologist Software

Quick guide to store and forward telehealth

References:
https://newsroom.cisco.com/c/r/newsroom/en/us/a/y2013/m03/cisco-study-reveals-74-percent-of-consumers-open-to-virtual-doctor-visit.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2765770/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6231765/
https://www.mckinsey.com/industries/healthcare/our-insights/helping-us-healthcare-stakeholders-understand-the-human-side-of-the-covid-19-crisis
https://pubmed.ncbi.nlm.nih.gov/19035797/
https://www.liebertpub.com/doi/abs/10.1089/tmj.2017.0078

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