TrichoMap — Sign up

Who's signing up?

You can change or upgrade your plan any time from Settings → Billing.

Tell us about your practice

This is the practice that will use TrichoMap.

Practice name*

Specialty

Street address*

City*

State*

ZIP*

Already have an account? Sign in on the web or use the TrichoMap mobile app.

Create your practice admin account

You'll be the practice administrator. MFA is required.

First name*

Last name*

Work email*

Phone

Credential

Individual NPI*

10-digit National Provider Identifier. Verified against NPPES.

Password*

At least 8 characters.

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Verify it's you

We sent a 6-digit code to your email. Enter it below.

✉️

Enter the code from your email

Resend code

Remember this device for 30 days

You won't need a code again on this device for 30 days.

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Review & agree

Almost done. Please review before creating your practice account.

🔬 How TrichoMap uses data

TrichoMap creates de-identified information from the data in your account and uses it to improve the product, for research and publication, and for commercial purposes including licensing to pharmaceutical and device companies. De-identified information has your patients' identifying details removed following the HIPAA Safe Harbor standard — including stripping hidden file data from images and removing specific dates. See the De-Identification SOP for details.

This is a condition of using TrichoMap

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Payment

Your plan starts as soon as your card is confirmed.

Card number*

Expiration*

CVC*

ZIP*

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You're in!