Dr. Elena Marsh, board-certified dermatologist, mid-conversation with patient, natural window light

Board Certified

AAD Member

12 years

in practice

Your skin has a story.
Let's read it together.

Dr. Elena Marsh, MD

I see what mirrors miss — the mole that changed shape in March, the rosacea that follows your stress, the breakout that stopped responding to what used to work. This page is your first consultation.

Changing molesCystic acneRosaceaMelasmaPsoriasisCosmetic consult

Scroll to meet your first visit

Your Concerns
Your Skin History
Your Visit
Your first visit

What actually happens
at your appointment

Most first-time patients arrive with more anxiety than they need. Here's exactly what to expect, step by step.

Organized medical documents and phone with photos on a light wooden desk
01
5 min

Before you arrive

Gather any photos you've taken of your concern — even blurry ones from three months ago are useful. Note when you first noticed it and what (if anything) seems to make it better or worse.

  • Insurance card + photo ID
  • List of current medications
  • Photos of concern over time
Dermatologist examining patient skin with a dermatoscope in a warmly lit consultation room
02
20–30 min

The examination

You'll describe your concern in your own words — no medical vocabulary required. The exam is thorough but unhurried. A full-body skin check takes about 12 minutes and is performed with a handheld dermatoscope, not uncomfortable.

  • You stay fully in control of what's examined
  • Cosmetic questions welcome at the same visit
  • Nothing will be biopsied without your consent
Doctor handing patient printed care instructions in a bright consultation room
03
Same day

After your visit

Before you leave, you'll have a clear understanding of what was found and what happens next. If a biopsy is needed, results typically return in 5–7 business days. A follow-up call is standard, not an extra charge.

  • Written care instructions emailed within the hour
  • Prescription sent directly to your pharmacy
  • Patient portal access for all results
Your assessment

Help us prepare
for your visit

Five questions. Two minutes. No medical knowledge required.

Start Your Skin Assessment

Tell us a little about what you're experiencing. This helps Dr. Marsh prepare before your appointment — so your time together goes further.

HIPAA secure
2 minutes
No obligation
Common questions

The questions patients
don't always think to ask

Most patients are surprised by how quick and undramatic it is. You remain draped at all times — only the area being examined is exposed. The dermatoscope is a handheld device placed gently against the skin. The entire check takes about 12 minutes. You stay in control throughout.

Warmly lit dermatology consultation room with natural light, comfortable chair, and soft decor

The chair is already
adjusted for you.

You've read what to expect. You know what to bring. The only thing left is choosing a time.

45-minute first visit
Written care plan
Follow-up call included
Insurance verified first

No credit card required to request an appointment