Marshfield Clinic Health System (MCHS) is a part of the largest rural health system in the US. MCHS is located in 65 centers across much of Central, Western, Northwestern, and Northern Wisconsin and the Upper Peninsula of Michigan. In 9 of these centers we offer dermatology patient care, and we operate a broad telehealth network including provider-to-provider consultation. We train dermatologists who can manage the unique challenges of the rural dermatology patient.