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CIMOS Collaborator Access Request

For physicians, researchers, nurses, labs, and clinical teams who may be able to help identify similar patients, evaluate treatment paths, or support the CIMOS idiopathic acanthosis nigricans research and treatment program.

Name

*

Email

*

Institution / Practice

*

Role

*

Role

A

Physician

B

Researcher

C

Nurse / clinical team

D

Lab / genetics

E

Other

How would you like to help?

*

How would you like to help?

I may know a similar patient

I may be able to help with genetic research

I may be able to help with treatment ideas

I may be able to help with TCA chemical peels

I may be able to help with sedation-assisted or pain-managed treatment

I may be able to help with VA care or Community Care access

I would like to review the AI treatment analysis

Other

Notes

I understand this is an early research and care-coordination effort, not medical advice, diagnosis, or treatment.

*

I understand this is an early research and care-coordination effort, not medical advice, diagnosis, or treatment.