No. The full skin assessment is taken once at the start. Going forward, a board-certified dermatologist on our medical team monitors your progress through scheduled check-ins (typically a brief form and updated photos at week 4, week 8, and quarterly thereafter) and through any messages you send between check-ins.
You only re-submit information when something has changed — a new concern, a new medication, a new pregnancy or nursing status, a reaction to your current formula, or a request for a strength or formula change.