Individual user’s name

Physical location of mole being recorded

Date of first measure

With the transparent sheet as an overlay on the mole, trace the mole in detail for the first measure

Refer to this numeric color and features guide when completing the APPEARANCE area

Remove the transparent sheet from the mole, inspect the mole, then circle or fill in the numbers for each color and feature that represents the appearance of the mole during the first measure

Completed Visiderm sheets can be filed in the box and stored in your medicine cabinet to serve as a daily reminder to perform self examinations and to see a dermatologist regularly.

Date of second measure

With the transparent sheet as an overlay on the mole, trace the mole in detail for the second measure

Remove the transparent sheet from the mole, inspect the mole, then circle or fill in the numbers for each color and feature that represents the appearance of the mole during the second measure

After a subsequent measure is taken, compare those results to the first baseline recording and you may notice a progression or change in the color, size, shape or features of the mole. A dermatologist should be consulted immediately.