Background: Teledermatology has become more widely used, but its impact has not been clearly elucidated. We developed a teledermatology program in response to clinical need, based on the store-and-forward approach. Objective and Methods: Our purpose was to evaluate the satisfaction of patient and referring physician by using telephone interview. Results: Both patients and providers considered this a useful program and would recommend it to a friend or colleague. The patients were split in their overall rating of the program and its ability to treat their skin conditions. Their greatest concern was their lack of direct contact with their dermatologist. Other common concerns were waiting time and follow-up. Privacy concerns were not commonly mentioned. Providers expressed greater satisfaction than their patients. Their greatest concerns involved the inability of the program to handle the demand. Conclusion: The program provided a service that was valued by both patients and providers. The most common concern was the impact on the physician-patient relationship. (J Am Acad Dermatol 2002;47:68-72.)