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Individual user’s name |
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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. |