Presto — consultant-grade dermatology letters

Try it instantly

No login, no sign-up. Tap a sample below and watch it write a full consultant-grade letter. (Demo letters are stamped “DEMO — not for clinical use.”)

Got an access code?

Your access

Saved on this device only.

Access code (the code you were sent — this is all you need)

Advanced (rarely needed)

Service address (pre-set for you — only change this if you're told to)

Default letter length

Consultation letter style (new consult letters; switch any letter with the ⇄ chip)

Plan depth (management-plan detail; safety is never trimmed; flip on any letter)

Time-saved counter

Your signature (appears at the end of every letter — your closing, name & credentials)

Train my document styles

Teach the engine YOUR style for each kind of document. Pick the type, paste one or two of your own finished examples, add a short description, and press Learn — new documents of that type are then written in your style. Your styles are tied to your access key, so they follow you to any device. Remove patient names and identifiers first — only your writing style is kept, never patient details.

Document type to train Short description (what makes this style yours)

Upload .txt

Learned style (you can edit, then Save)

1Clinical shorthand

Examination & plan — physician

Dictation uses your browser's speech service, so audio leaves this device — use de-identified wording only. Hands-free: dictate the shorthand, then say “generate consult” or “generate procedure”. In the quiz, say an answer, “next” to move on, a box name to jump, or “generate letter” to finish.

How Presto works

Type the way you think between patients — it writes the finished letter. It handles any dermatology presentation; the examples below are just to get you started.

The shorthand key

Ex — what you examined Dx — dermoscopy Mx — your plan

Leave the diagnosis blank, or add diff, and it suggests differentials.

( … ) → an instruction to me [ … ] → a blank you fill in later.

Example — 31F, alopecia patch occiput 3wk, NKDA. Ex: 3x2cm patch. Dx: exclamation-mark hairs. Mx: ILT Kenalog 6mg/ml, r/v 6wk.

Examples to try — tap one to fill the box

Save what's in the box as your own example

2Document type

3Finished document

On OSCAR? The Chrome/Edge extension inserts this straight into the note with one click.

On Accuro or a Citrix-delivered EMR? The desktop companion pastes anywhere with one keystroke.

Prescribeadds a detailed item per medication to the plan

Reviserefine the whole letter in plain English