Illustration of a person's back with skin lesions, possibly indicating a medical condition.

Thoughtful dermatology integrating compassion, experience, accessibility, and collaboration.

We welcome the full scope of medical dermatology…not just rashes, but any matter that concerns skin, hair, or nails.

  • Acne

    Acne

  • Alopecia

    Alopecia

  • Close-up of a person's nose with a skin lesion, possibly a scab or mole, on the side.

    Basal Cell and Squamous Cell Skin Cancers

  • Close-up of flaky, dry skin patches on human skin surface.

    Cradle Cap

  • Hand Dermatitis

    Hand Dermatitis

  • Hyperhidrosis

    Hyperhidrosis

  • Hyperpigmentation

    Hyperpigmentation

  • Lichen planus

    Lichen planus

  • Close-up of a mole on skin

    Melanoma

  • Moles

    Moles

  • Nail Disorders

    Nail Disorders

  • Psoriasis

    Psoriasis

  • Close-up of a person's face with red, blotchy skin, likely due to a skin condition or irritation, partially covering cheeks, nose, and chin.

    Rosacea

  • Red rash on a person's skin, possibly a medical condition such as hives or shingles.

    Shingles

  • Rash Decisions Toile

    more

Goodbye,

Insurance

Person in a white lab coat and glasses holding a coffee and tablet.
Profile view of a person with earrings and textured skin.

Experience healthcare reimagined at Rash Decisions, where we've broken free from insurance constraints to deliver truly patient-centered dermatology care. Through our Direct Care model, you'll have immediate access to Dr. Marchand, enjoying unhurried visits and transparent pricing - often at a lower cost than traditional insurance copays.

No membership fees, no insurance hassles, just straightforward, high-quality dermatology care when you need it.

Visit our office

At Rash Decisions, we believe in building lasting relationships with our patients through transparent communication and individualized treatment plans. Dr. Marchand's direct care approach ensures that you receive focused attention and expert treatment at every visit.

Our conveniently located office in Preston Center offers a comfortable, professional environment where your skin health is our primary concern. We invite you to experience the difference that dedicated, direct medical dermatological care can make.