SkinPen Reach Program: Bellus Medical & Our Providers Changing Lives Together

Bellus Medical would like to personally thank you for your partnership and commitment to patient outcomes with SkinPen. We love to see the pictures and hear the stories of the patients whose lives you have changed with SkinPen. This has led us to launch an initiative, SkinPen Reach, a partnership in giving, with our Providers.

We know you come across patients throughout the year who would benefit greatly from SkinPen, yet do not have the disposable income to afford treatments. We also know as a clinician you are driven by the desire to help others and change lives. We would like to join you in your quest.

Through our SkinPen Reach program, Bellus Medical will provide the practice with three treatment kits, Skinfuse 90 day Post Procedure Protocol and a SURGE free of charge to treat a patient of your choice. This will allow the chosen patient to receive three SkinPen procedures spaced one month apart. Each Provider will be able to nominate one new patient every six months.

SkinPen Reach Program Enrollment

Please complete the enrollment form, photo release form and upload a before photo. Once approved, we will send the supplies for the enrolled patient. After your patient has completed the 90 day program we encourage you to send us an after photo and let us know how the patient responded to their procedures. We love to hear and share the stories of how together we have impacted your patients’ lives.

Again, thank you for your partnership. We are working on exciting things here at Bellus Medical and are thrilled to be partners with your practice.

Click to view and download the Photo Release eForm. Upon completion upload via the form to the right or print and fax the release to 972-372-0247.

SkinPen Reach Submission Form

Patient's Sex*
MaleFemale

Signed Photo Release eForm*

High Resolution Baseline Before Photo*