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Request Service

Request mobile Mohs histology coverage

Use this secure online request page for coverage requests from brochures, QR codes, and clinic scheduling conversations. Requests are prepared for schedule@mohsmobilepros.com.

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What To Include

The clearest requests include dates, volume, and workflow needs

  • Practice name and primary contact
  • Requested service date or date range
  • Clinic location and arrival needs
  • Anticipated Mohs case volume
  • Requested histology services
  • Important protocol or workflow notes

Online Service Request

Request mobile Mohs histology coverage

Scanning from a brochure? You're in the right place. Complete the form below and our scheduling team will follow up.

Scheduling: schedule@mohsmobilepros.com

Practice Information
Primary Contact
Clinic / Service Location
Coverage Details
Services Requested
Equipment / Room Details
Workflow Notes / Special Instructions

Requests are prepared for delivery to schedule@mohsmobilepros.com.