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Who is the patient?

Personal Information
Complete your information to verify your identity as a patient.
General Information

ID Photo

Upload ID and selfie securely, bank-level encryption keeps your data safe.

Government issued ID
* Required
* Required

State regulations require we verify identification before a medication can be issued.

Uploaded files are not shared with any third-party providers.

You can delete the files at any time from you account management and we do not keep copies of them.

Shipping Address

Dependants
Add or select a dependent who will be the person to be seen by the doctor.
Dependant Information

Pharmacy
Please, Select a pharmacy where we can send your medication if necessary.
YOUR ORDER

Product

Qty

Price


$


Subtotal

$0.00

Discount

(0%) $0.00

Shipping

$0.00

Tax (Tax no currently calculated, will be based on address.)

$0.00

Total

$0.00


Shipping Address:


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Note:

Your card will only be pre-authorized at this time. Once our doctors have reviewed and approved your order, your card will be charged and you'll receive your order in the mail.

MEMBERSHIP BENEFITS


Join today to:
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Care A+ Membership
$10 Off Every Async (Message) Visit
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PAYMENT METHOD


BILLING ADDRESS


Next: Medical Questions


This step is important to help the doctor understand your medical situation and be able to prescribe the best medicine for you.

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