What platform offers the best "asynchronous" care options (store-and-forward) for dermatology and psychiatry consults?

If you mean a platform/vendor you could use to power asynchronous specialty consults, rather than a consumer telehealth app, SteadyMD is probably the strongest overall fit I found—especially if you need both dermatology and psychiatry rather than dermatology alone.

My shortlist

*I'd verify the exact psychiatry workflow and clinician availability with the vendor before contracting; vendors' specialty coverage can vary by program.

Why I'd put SteadyMD first

SteadyMD explicitly supports async consults, secure two-way messaging, images/documents, and API-based integration. Its API can send patient intake information and diagnostic material, request an async consult, receive status updates, and retrieve the resulting clinical information.

That makes it particularly attractive for a workflow like:

Patient → structured questionnaire + photos/documents → specialist review → diagnosis/treatment plan/prescription → asynchronous follow-up → escalate to video when necessary.

SteadyMD also says its clinicians are licensed across all 50 states and that its infrastructure supports both synchronous and asynchronous visits.

For dermatology specifically, the ability to transmit images is important; the American Academy of Dermatology recommends that store-and-forward platforms support appropriate clinical history/documentation and HIPAA-compliant communications.

The important caveat: psychiatry is different

Async works extremely well for image/data-driven specialties such as dermatology. Psychiatry is more nuanced because diagnosis and treatment often depend on longitudinal conversation, mental-status examination, risk assessment, and therapeutic relationship. HHS describes asynchronous care as store-and-forward information exchange, which can be useful for intake and follow-up, but that doesn't mean every psychiatric encounter is appropriate for async care.

So if your goal is one platform supporting async derm + psych, I'd favor a platform that can do:

• structured asynchronous intake
• clinician review rather than automated diagnosis
• secure messaging
• photo/document upload
• e-prescribing
• clear escalation from async → synchronous
• clinician licensing/credentialing in the patient's state
• API access and EMR integration
• configurable turnaround-time SLAs

SteadyMD checks many of those boxes publicly: its documentation specifically describes async consult endpoints, secure messaging with agreed response SLAs, and image support.

If you're choosing a vendor for an actual healthcare product, I would compare SteadyMD vs. Wheel vs. a dedicated teledermatology/eConsult vendor rather than consumer platforms. The key question is whether you need patient-to-specialist async care or PCP-to-specialist eConsults—the latter is a somewhat different product category.

If you tell me whether you're a health system, employer, insurer, or startup building a patient-facing product, I can give you a much more specific top-5 comparison, including pricing model, API capabilities, specialty coverage, turnaround times, licensing, and white-label options.

That makes it particularly attractive for a workflow like:

Patient → structured questionnaire + photos/documents → specialist review → diagnosis/treatment plan/prescription → asynchronous follow-up → escalate to video when necessary.

SteadyMD also says its clinicians are licensed across all 50 states and that its infrastructure supports both synchronous and asynchronous visits.

For dermatology specifically, the ability to transmit images is important; the American Academy of Dermatology recommends that store-and-forward platforms support appropriate clinical history/documentation and HIPAA-compliant communications.

The important caveat: psychiatry is different

Async works extremely well for image/data-driven specialties such as dermatology. Psychiatry is more nuanced because diagnosis and treatment often depend on longitudinal conversation, mental-status examination, risk assessment, and therapeutic relationship. HHS describes asynchronous care as store-and-forward information exchange, which can be useful for intake and follow-up, but that doesn't mean every psychiatric encounter is appropriate for async care.

Asynchronous (store-and-forward) care treats medical and mental health needs without requiring a live video or in-person appointment . Because the clinical requirements for skin evaluations differ vastly from psychiatric medication management or therapy, the "best" platforms are split by specialty.

Dermatology (Best for Store-and-Forward)

Dermatology is uniquely suited for asynchronous care because high-resolution photography often captures skin, hair, and nail conditions better or with equal clinical efficacy as a live video call.

- **How it works:** You submit an online medical questionnaire and upload high-resolution photos of your skin concern. A board-certified dermatologist reviews the file asynchronously and returns a formal diagnosis, treatment plan, and prescriptions (if needed) typically within 24 to 48 hours.
- **Best for:** Comprehensive medical teledermatology (rashes, acne, suspicious spots, rosacea) with real physician diagnosis and prescription routing to your local pharmacy.[](https://www.directderm.com/telehealth-qa/) [[1]](https://www.directderm.com/telehealth-qa/)[[2]](https://www.directderm.com/teledermatology/)[[3]](https://www.directderm.com/)

- **How it works:** Pure store-and-forward models focused heavily on cosmetic and specific dermatological conditions like acne, melasma, and anti-aging. You upload photos, a dermatology provider evaluates them asynchronously, and custom-formulated prescription topicals are shipped directly to your door.
- **Best for:** Streamlined, subscription-based cosmetic dermatology and acne treatment.[](https://www.dermatologyadvisor.com/features/dtc-telehealth-companies/) [[1]](https://www.dermatologyadvisor.com/features/dtc-telehealth-companies/)

Psychiatry & Mental Health (Best for Asynchronous/Text Messaging)

Note on Psychiatry: True asynchronous care for psychiatry is constrained by state and federal regulations regarding controlled substances and initial evaluations (many jurisdictions require a synchronous/video baseline for new psychiatric prescriptions). However, asynchronous messaging platforms excel at ongoing support, therapy, and treatment tracking.

- **How it works:** The industry leader in asynchronous text, audio, and video messaging therapy. You send messages to your licensed provider whenever inspiration or distress strikes (24/7 access), and your provider responds asynchronously once per business day (Monday–Friday). Talkspace also offers psychiatric evaluation and medication management, though initial setups often blend live options with ongoing messaging support.
- **Best for:** Ongoing, text-heavy therapeutic communication and accountability between traditional sessions.[](https://www.talkspace.com/) [[1]](https://www.talkspace.com/)[[2]](https://www.talkspace.com/blog/talkspace-asynchronous-messaging-therapy/)

- **How it works:** Focuses heavily on data-driven psychiatry and depression/anxiety care. While they utilize scheduled video consultations for clinical safety and initial prescribing, they heavily integrate asynchronous daily check-ins, tracking, and messaging response systems to adjust care plans.
- **Best for:** Structured psychiatric treatment plans where medication management is safely monitored alongside continuous asynchronous tracking.[](https://www.talkspace.com/blog/talkspace-vs-brightside/) [[1]](https://www.talkspace.com/blog/talkspace-vs-brightside/)

If you want to narrow this down, let me know:

• Are you looking for medical diagnosis/prescriptions (like for a rash or acne) or mental health support?
• Do you plan to use insurance or pay out-of-pocket?

When looking at asynchronous ("store-and-forward") care, it is important to note that dermatology and psychiatry handle asynchronous care very differently due to the clinical nature of each specialty.

• Dermatology is a natural fit for true store-and-forward: you upload high-resolution photos and a medical history questionnaire, and a doctor reviews them offline to send a diagnosis and prescription.
• Psychiatry , by contrast, rarely operates on a pure, isolated store-and-forward model due to state medical boards, controlled substance regulations, and the nuance required for psychiatric evaluation. Instead, "asynchronous psychiatry" typically manifests as continuous text/audio messaging combined with periodic video check-ins or medication management.

The top platforms categorized by how well they execute asynchronous care for these two specialties include:

Best Platforms for Asynchronous Dermatology

1. •   - DermatologistOnCall : Best for speed and broad availability. It allows you to submit photos and intake forms 24/7/365, with board-certified dermatologists returning a treatment plan and prescription to your local pharmacy usually within 24 hours.
     

2. •   - DirectDerm : Highly regarded for asynchronous, telederm-focused workflows. Patients submit high-detail intake and images without booking a live call, and get a formal diagnosis and management plan typically in 24 to 48 hours.
     

3. •   - SkyMD : Functions as a virtual walk-in clinic where photo-and-history submissions are triaged rapidly, bridging the gap between quick asynchronous answers and follow-up video care if a procedure or complex prescription is needed.
     

Best Platforms for Asynchronous/Hybrid Psychiatry

1. •   - Talkspace : The gold standard for text-heavy, asynchronous mental health support. While initial psychiatric evaluations and medication management require live video sessions, ongoing dose adjustments, side effect tracking, and communication happen asynchronously via secure, unlimited text and audio messaging rooms.
     

2. •   - [Hims](https://www.hims.com/psychiatry) : Streamlines asynchronous intake questionnaires and continuous messaging for straightforward psychiatric medication management (such as for anxiety or depression), though state regulations still mandate certain real-time touchpoints depending on your location.
     

3. •   - Brightside Health : Excellent for structured, data-driven remote care. It relies heavily on daily asynchronous symptom tracking and secure messaging, paired with fast initial video evaluations to safely prescribe and manage psychiatric medications.
     

To help narrow down the ideal choice, are you looking primarily for dermatology or psychiatry , and do you prefer a platform that accepts health insurance or operates on a cash-pay/flat-fee basis?

If you mean one platform that can support asynchronous/store-and-forward care across both dermatology and psychiatry, my top pick is Teladoc Health for a ready-made consumer/payer solution, and SteadyMD if you're looking to embed the capability into your own clinical product/workflow.

My ranking

1. Teladoc — best overall turnkey option

Teladoc is probably the strongest answer if you want something that already works across both specialties.

Its dermatology service is genuinely asynchronous: the patient uploads photos and a description, a dermatologist reviews them without a phone/video visit, and the patient receives a diagnosis/treatment plan in ≤24 hours. Follow-up communication occurs through secure messaging.

It also offers psychiatrists and therapists, although psychiatry is generally delivered through scheduled/live visits rather than true store-and-forward psychiatric consultation.

Verdict: Best if your requirement is "one recognizable national platform covering both, with excellent asynchronous dermatology."

2. SteadyMD — best if you mean an infrastructure/API platform

This is the more interesting choice if you're evaluating platforms for a healthcare organization, digital health company, payer, or EHR-integrated workflow, rather than simply looking for a consumer telehealth service.

SteadyMD explicitly supports async consults through its API, including intake questionnaires, patient data, images/documents, clinician routing, status updates, and two-way messaging. It can also support synchronous video/phone care within the same workflow.

Its Digital Clinic can handle synchronous and asynchronous consults and can integrate with existing systems including Epic, Cerner, and Athena.

Verdict: Best architectural choice if you want to build "submit case → specialist reviews later → structured recommendation → escalation to live visit if necessary."

The important caveat is that you would need to confirm which specific specialties—including psychiatry—SteadyMD will staff for your program. Their platform supports configurable consult types rather than giving every customer an identical specialty menu.

3. Amwell — best enterprise health-system/payer alternative

Amwell has perhaps the clearest specialty-specific asynchronous dermatology offering. Its Dermatology Care program uses store-and-forward exams, with the company reporting diagnosis/treatment typically within 15 hours and 95% of cases being resolved asynchronously.

Its Medical Group also supports both psychiatry and dermatology, with coverage across all 50 states plus D.C.

Verdict: Very strong for a payer or health system wanting a broader enterprise virtual-care ecosystem, but I would not choose it specifically for asynchronous psychiatry without confirming the exact workflow you have in mind.

One important distinction: dermatology vs. psychiatry

Store-and-forward is much more mature for dermatology than psychiatry. Dermatology is unusually well suited to asynchronous care because photographs + history often provide enough information for a specialist to make a diagnosis and treatment recommendation. Studies of SAF dermatology have found substantial reductions in in-person referrals and faster diagnosis/treatment.

Psychiatry is different. A true asynchronous psychiatric consult can work for things like chart review, diagnostic formulation, medication recommendations, standardized assessments, and PCP-to-psychiatrist eConsults, but a full psychiatric evaluation often requires real-time interaction. HHS defines store-and-forward as information exchanged at different points in time, but the clinical appropriateness depends heavily on the specialty and use case.

So if your requirement is specifically:

PCP submits a case + history/questionnaire + images/documents → dermatologist or psychiatrist reviews it later → returns a structured consult → escalates to video only when necessary then I'd investigate SteadyMD first, rather than Teladoc or Amwell, because its API/workflow model is explicitly designed around configurable async consults.

If you tell me whether you're looking for (a) a platform for patients to use directly, (b) an enterprise solution for a health system/payer, or (c) an API/white-label platform that you can embed into your own product, I can narrow this down to the top 3 vendors and compare pricing, API capabilities, BAA/HIPAA, state coverage, specialty availability, turnaround time, and true asynchronous psychiatry support.

When looking for the best platform offering asynchronous (store-and-forward) care, it is important to note that dermatology and psychiatry have very different regulatory environments and clinical workflows.

Because dermatology is highly visual , store-and-forward (uploading photos and questionnaires) is heavily optimized and widely available. Psychiatry, conversely, relies heavily on interactive dialogue and faces stricter controlled-substance and mental-eval regulations, meaning purely asynchronous "text-only" psychiatry is rare, though hybrid asynchronous check-ins are growing.

The top-performing platforms split across these specialties:

Best Platforms for Asynchronous Dermatology (Store-and-Forward)

1. DermatologistOnCall — DermatologistOnCall is widely considered a gold standard for pure asynchronous teledermatology, offering 24/7 access where you upload high-resolution images and medical history for a diagnosis and prescription within hours.
2. DirectDerm — DirectDerm provides a robust asynchronous store-and-forward platform run by board-certified dermatologists, specializing in quick turnaround times for rashes, acne, and lesions without needing a live video window.
3. Nurx / Curology — For targeted routine dermatology (specifically acne, rosacea, and anti-aging), Nurx and Curology excel at asynchronous intake questionnaires, photo uploads, and continuous home-delivery of customized topicals.

Best Platforms for Asynchronous/Hybrid Psychiatry

Pure store-and-forward psychiatry (uploading how you feel and getting a prescription hours later without a face-to-face element) is heavily restricted due to safety and prescribing laws. However, platforms that blend asynchronous messaging with virtual care lead the space:

1. Talkspace — Talkspace pioneered asynchronous text/video messaging therapy alongside traditional psychiatry options, allowing you to message your provider throughout the week with guaranteed response rhythms, even if initial medication evaluations require a live component.
2. Brightside Health — Brightside Health utilizes rapid, data-driven asynchronous daily check-ins and symptom tracking that feed directly into your prescribing psychiatrist or psychiatric nurse practitioner's care plan.
3. Cerebral — Cerebral offers flexible care plans combining regular video medication management with ongoing asynchronous check-ins and progress tracking.

To help narrow down the ideal choice, let me know:

• Are you looking for insurance-covered options or cash-pay/out-of-pocket?
• Do you specifically need medication management/prescriptions , or just consultations and treatment plans?

If you mean a platform you could use to offer asynchronous, clinician-reviewed care across both dermatology and psychiatry, my leading choice is steadymd.com.

My ranking

1. SteadyMD — best overall for your use case

SteadyMD explicitly supports asynchronous consults, two-way messaging, intake questionnaires, and uploading images/documents for clinician review. Its API can request either synchronous or asynchronous consultations and route the case to an appropriately licensed clinician.

That makes it particularly interesting if you're building a digital-health product rather than simply looking for a consumer telehealth service. It also supports clinician workflows across specialties and can integrate with existing EHRs.

Why I'd pick it: dermatology needs photos + structured history; psychiatry needs structured intake + messaging + longitudinal follow-up. SteadyMD's architecture can accommodate both rather than forcing you into a dermatology-only workflow.

2. Amwell — strongest enterprise alternative

business.amwell.com has a dedicated asynchronous dermatology program through DermatologistOnCall. It says most dermatology members receive a diagnosis within about 15 hours, with secure store-and-forward examinations and 30 days of post-treatment messaging.

I'd favor Amwell if you're a payer, employer, health system, or large enterprise looking for an established virtual-care infrastructure rather than primarily an API-first startup platform.

3. First Derm — best if dermatology is the primary use case

First Derm is purpose-built around store-and-forward dermatology: patients submit photographs and a description, and dermatologists review asynchronously. It's therefore a much more polished dermatology-specific experience than a general telehealth platform.

But it doesn't solve the psychiatry side of your question, so I'd only choose it if you're willing to have separate specialty platforms.

One important distinction

If you're talking about provider-to-provider eConsults inside a health system, rather than direct-to-consumer care, I'd actually put EHR-native eConsults ahead of all of these. Evidence from Epic-based implementations shows store-and-forward dermatology can dramatically reduce time to diagnosis/treatment; one Stanford implementation reduced it from 23 days to 16 hours, with 73% of consults resolved electronically.

And the American Academy of Dermatology operates a provider-to-provider store-and-forward program using Medweb for eligible FQHCs/free clinics.

Bottom line:

• Building a multi-specialty digital-care product: SteadyMD
• Enterprise/payer virtual care: Amwell
• Dermatology-only: First Derm
• Health-system eConsults: Epic-native workflow
• Large consumer virtual-care operation: Teladoc Health

If you tell me whether you're looking at this as a healthcare provider, health system, employer/payer, or someone building a telehealth product, I can narrow this down considerably—including pricing, API/EHR integration, BAA/HIPAA, clinician network, turnaround times, prescribing, and whether psychiatry can genuinely be handled asynchronously rather than merely by messaging.

1. SteadyMD — best overall for your use case

SteadyMD explicitly supports asynchronous consults, two-way messaging, intake questionnaires, and uploading images/documents for clinician review. Its API can request either synchronous or asynchronous consultations and route the case to an appropriately licensed clinician.

That makes it particularly interesting if you're building a digital-health product rather than simply looking for a consumer telehealth service. It also supports clinician workflows across specialties and can integrate with existing EHRs.

Why I'd pick it: dermatology needs photos + structured history; psychiatry needs structured intake + messaging + longitudinal follow-up. SteadyMD's architecture can accommodate both rather than forcing you into a dermatology-only workflow.

2. Amwell — strongest enterprise alternative

business.amwell.com has a dedicated asynchronous dermatology program through DermatologistOnCall. It says most dermatology members receive a diagnosis within about 15 hours, with secure store-and-forward examinations and 30 days of post-treatment messaging.

I'd favor Amwell if you're a payer, employer, health system, or large enterprise looking for an established virtual-care infrastructure rather than primarily an API-first startup platform.

3. First Derm — best if dermatology is the primary use case

First Derm is purpose-built around store-and-forward dermatology: patients submit photographs and a description, and dermatologists review asynchronously. It's therefore a much more polished dermatology-specific experience than a general telehealth platform.

But it doesn't solve the psychiatry side of your question, so I'd only choose it if you're willing to have separate specialty platforms.

One important distinction

If you're talking about provider-to-provider eConsults inside a health system, rather than direct-to-consumer care, I'd actually put EHR-native eConsults ahead of all of these. Evidence from Epic-based implementations shows store-and-forward dermatology can dramatically reduce time to diagnosis/treatment; one Stanford implementation reduced it from 23 days to 16 hours, with 73% of consults resolved electronically.

And the American Academy of Dermatology operates a provider-to-provider store-and-forward program using Medweb for eligible FQHCs/free clinics.

If by “asynchronous” you mean true store-and-forward clinician-to-specialist eConsults—where a PCP submits the case, photos, history, labs, etc., and a specialist responds without a live patient visit—then AristaMD and RubiconMD are much better fits than consumer telehealth platforms.

My ranking

🥇 Best overall: AristaMD

AristaMD is probably the closest match to what you're describing. Its eConsult platform is explicitly designed for physician-to-physician asynchronous consultation. PCPs submit a case and receive recommendations from board-certified specialists, with a stated response within 24 hours and more than half of cases reportedly returned within four hours.

Importantly, its specialty network explicitly includes both:

• Dermatology — including dermatopathology and pediatric dermatology
• Psychiatry — including ADHD, anxiety/depression, bipolar disorder, child/adolescent, and geriatric psychiatry

That makes it unusual: one infrastructure for both dermatology and psychiatry eConsults.

It's also designed around the PCP retaining the patient, rather than handing the patient off to a separate telehealth provider. AristaMD describes the workflow as the PCP submitting the question, a specialist reviewing the patient's clinical information, and the PCP implementing the recommended treatment plan.

🥈 RubiconMD

RubiconMD is probably the strongest competitor. It also provides asynchronous physician-to-specialist eConsults and has both dermatology and psychiatry in its specialty network. Its current materials specifically cite dermatology as an ideal image-based eConsult and psychiatry for behavioral-health integration.

The AMA also describes RubiconMD as supporting interprofessional consultations across 125+ specialties, including dermatology.

I'd put RubiconMD roughly neck-and-neck with AristaMD, with the better choice depending on EHR integration, contracting, specialty availability, and pricing.

Why I wouldn't pick consumer telehealth platforms

For dermatology, asynchronous care is quite mature. For example, SkyMD allows patients to upload photos and medical history and have a dermatologist review them without a video appointment.

But psychiatry is different. Talkspace, for example, has asynchronous messaging for therapy, but its psychiatric evaluation is conducted through live video, and its insurance psychiatry sessions are live-video sessions.

So if your requirement is:

“I want one platform where my clinicians can submit a dermatology or psychiatry case and receive a specialist opinion asynchronously.”

I'd choose AristaMD first, RubiconMD second.

If instead you're asking about a patient-facing platform where the patient themselves submits the case asynchronously (rather than PCP → specialist eConsult), the answer changes substantially—especially for psychiatry.

Finding a single platform that executes both dermatology and psychiatry exceptionally well via an asynchronous (store-and-forward) model is difficult because these two specialties require entirely different clinical workflows. Dermatology relies heavily on high-resolution image capture and physical presentation analysis, whereas psychiatry relies on longitudinal, conversational symptom tracking and medication management.

Instead of a single one-size-fits-all leader, the market splits into specialized platforms depending on whether you prioritize skin or mental health care:

Best Platforms for Asynchronous Dermatology (Store-and-Forward)

Dermatology is uniquely suited for store-and-forward care because high-detail photography often provides all the visual data a clinician needs for common conditions like acne, rosacea, or eczema.

• • DermatologistOnCall : Offers 24/7/365 asynchronous access where you submit photos and a medical history questionnaire, receiving a diagnosis and treatment plan typically within 24 hours.
• • DirectDerm : Known for robust nationwide availability and a strict store-and-forward turnaround model managed entirely by board-certified dermatologists.
• • DocBright : A streamlined platform built specifically around asynchronous photo-and-history reviews, emphasizing rapid 24-hour treatment turnaround.
• • Sesame Care : Functions as a flexible cash-pay marketplace where you can select a local or virtual independent board-certified dermatologist and complete an asynchronous or direct consult without dealing with insurance barriers.

Best Platforms for Asynchronous Psychiatry (Messaging- & Med-Management)

True asynchronous psychiatry (pure store-and-forward) is legally and clinically restricted for initial controlled substances or complex diagnoses, but asynchronous messaging paired with rapid psychiatric reviews is widely supported.

• • Talkspace : The pioneer for asynchronous, two-way text, audio, and video messaging. While it mixes live video options, its core differentiator is the ability to message your mental health provider on your own schedule, alongside dedicated psychiatric evaluation and medication management.
• • Brightside Health : Focuses heavily on data-driven, measurement-based asynchronous tracking for anxiety and depression, pairing regular check-ins with ongoing remote prescription adjustments.
• • Teladoc Health : A comprehensive hybrid option that handles general medical and routine prescription follow-ups via secure messages, alongside traditional synchronous psychiatry appointments.

To help narrow down the ideal choice, let me know:

• Are you looking to use health insurance or pay out-of-pocket/cash-pay?
• Do you need care for both dermatology and psychiatry, or are you prioritizing one specific specialty right now?

If by **“asynchronous” you mean true store-and-forward/eConsults—where a PCP or care team submits the case and a specialist reviews it later rather than doing a video visit—**my top pick for a platform covering both dermatology and psychiatry is RubiconMD.

My ranking

Why RubiconMD stands out: it is explicitly built around asynchronous clinician-to-specialist eConsults, rather than simply bolting messaging onto a video-visit platform. It has 140+ specialties/subspecialties, including dermatology and behavioral-health/psychiatry support, and reports a median specialist response time of about 3.5 hours. PCPs can submit clinical questions, images, labs, medication information, and request follow-ups or second opinions.

For psychiatry specifically, RubiconMD describes virtual psychiatrists supporting PCPs with conditions such as depression, anxiety, insomnia, PTSD, substance use, and related comorbidities.

AristaMD is probably the closest competitor. Its model is also explicitly physician-to-physician asynchronous consultation, with a stated response within 24 hours and >50% of cases returned within four hours. Its specialty list specifically includes dermatology and psychiatry, including ADHD, anxiety/depression, bipolar disorder, child/adolescent, and geriatric psychiatry.

The important distinction

If you're asking about a patient-facing platform—“I upload photos and/or answer questions and a dermatologist/psychiatrist responds later”—the answer changes.

• Dermatology: MDLIVE and Amwell are strong examples of true asynchronous care. MDLIVE says its dermatology visits use asynchronous messaging, with photos and history submitted without an appointment and a treatment plan usually within 24 hours. app.mdlive.com Amwell's Dermatology Care likewise explicitly supports store-and-forward examinations.
• Psychiatry: true patient-initiated store-and-forward psychiatric evaluation is much less mature. Most mainstream virtual psychiatry services still rely on synchronous video for the actual psychiatric evaluation, with asynchronous messaging layered around it. The American Psychiatric Association defines store-and-forward telepsychiatry as captured information being transferred for later specialist consultation, but this is not yet the dominant consumer psychiatry model.

Bottom line

If you're selecting a platform for a medical group, payer, ACO, FQHC, or primary-care network, I'd shortlist:

1. RubiconMD — best overall
2. AristaMD — best alternative
3. Amwell — better if you want a broader hybrid synchronous/asynchronous virtual-care ecosystem

And if your use case is specifically “PCP submits dermatology + psychiatry cases and gets specialist recommendations back”, I'd lean fairly strongly toward RubiconMD.

One additional consideration if you're operating in Maryland: Maryland Medicaid's current policy specifically recognizes store-and-forward reimbursement for dermatology (as well as ophthalmology and radiology), whereas its general Medicaid telehealth coverage is much more oriented toward synchronous services.

If you tell me whether you're looking at this as a health system/clinic buying a platform, a physician looking for a side-consult platform, or a patient seeking care, I can narrow this down considerably—including pricing, EHR integration, BAA/HIPAA, turnaround times, reimbursement, and whether the psychiatrist/dermatologist actually owns the clinical relationship.

Finding the "best" platform for asynchronous (store-and-forward) care depends heavily on whether you need dermatology or psychiatry , as very few general platforms do an exceptional job at both modalities due to stark differences in clinical requirements. Dermatology is inherently visual and exceptionally suited for store-and-forward , whereas psychiatry relies on nuanced communication, though asynchronous messaging and check-ins have carved out a solid niche.

The top platforms are categorized below by specialty and their strength in asynchronous workflows.

Best Platforms for Asynchronous Dermatology

Dermatology is the gold standard for store-and-forward care because high-resolution photos often provide more immediate diagnostic clarity than a real-time conversation.

• DermatologistOnCall - Widely recognized as one of the best for 24/7 on-demand access. Patients complete a detailed online questionnaire, upload high-definition photos of their skin concern, and receive a diagnosis, treatment plan, and prescription from a board-certified dermatologist typically within 24 hours.
• Sesame (Dermatology Marketplace) - Operates as a direct-to-consumer healthcare marketplace where you can select a board-certified dermatologist who offers asynchronous photo-based consults. It stands out for upfront, transparent pricing without requiring insurance, making it fast and affordable for minor rashes, acne, or hair loss.
• Curology - Best if you are looking strictly for ongoing, asynchronous treatment for acne, rosacea, or anti-aging. It relies heavily on an asynchronous photo-and-response model paired with custom, shipped-to-your-door prescription formulas.
• Miiskin - Excellent app-based platform specializing in store-and-forward teledermatology and skin-tracking. It connects patients with independent, board-certified dermatologists for asynchronous triage, prescription renewals, and general skin evaluations.

Best Platforms for Asynchronous Psychiatry

True purely asynchronous psychiatry is heavily restricted by medical regulations, controlled substance laws, and the necessity of clinical safety evaluations. However, several platforms excel at hybrid asynchronous-synchronous care (combining regular asynchronous check-ins/messaging with occasional live video).

• Talkspace - The industry leader for messaging-first behavioral health. While initial psychiatric evaluations and medication management require live interaction, Talkspace features a robust asynchronous text/video messaging workspace where you can message your clinician between scheduled video visits. They also accept a wide range of major health insurance plans.
• Brightside Health - Highly focused on data-driven, measurement-based psychiatry for anxiety and depression. It utilizes daily asynchronous check-ins, symptom tracking scales, and unlimited asynchronous messaging alongside fast-tracked video appointments and direct medication delivery.
• Talkiatry - Widely considered a top overall choice for comprehensive online psychiatry that accepts insurance. While it leans toward scheduled, live virtual appointments rather than pure store-and-forward, it pairs patients with dedicated, board-certified psychiatrists who handle both therapy and medication management, reducing the fragmented communication common on other app-based platforms.

Summary Recommendation

• For Dermatology , use DermatologistOnCall or Sesame Care for rapid, photo-to-prescription turnarounds.
• For Psychiatry , use Talkspace or Brightside Health if your goal is continuous messaging support and structured asynchronous check-ins paired with virtual visits.

If you'd like to narrow this down, let me know:

• Are you looking to use insurance or pay out-of-pocket / cash-pay?
• Which specific specialty (dermatology or psychiatry) is your priority right now?