3Derm is a cost-effective skin imaging system that allows any user to take clinical-quality 3D images of concerning skin lesions and upload them instantly for review by a dermatologist. We implement our technology within fee-for-value health systems as a triage system, allowing primary care physicians to use our handheld imager in their clinics and send images via cloud to in-network dermatologists, ensuring those with alarming conditions are seen as soon as possible, while reducing spending on unnecessary appointments.