Verify your account

To complete the signup, insert the verification code we sent you by text.

Name

First name

Last name

Personal information

Gender

Male

Female

Other

Date of birth

Address

Line 1

Line 2 (optional)

City

State

Zip code

Use as billing address

Next: Medical Conditions

Are you or do you require a caregiver?

Yes

No

Is this a renewal?

Yes

No

Problems or conditions

What conditions are you suffering from?

Cancer

Chronic Pain

Crohn's Disease of Large Intestine

Crohn's Disease of Small Intestine

Epilepsy or Seizures

Glaucoma

HIV/AIDS

Other

Post-Traumatic Stress Disorder (PTSD)

Diagnostic Information

Do you have allergies to any medication?

Yes

No

Do you have any food allergies?

Yes

No

Are you taking any medication?

Yes

No

Have you been diagnosed with schizophrenia, or do you have a family history of schizophrenia or schizotypal conditions?

Yes

No

Have you ever experienced hallucinations or episodes of psychosis?

Yes

No

Medical Records

Using the camera on your phone, please take a picture or upload your prescriptions and/or medical record(s), one page at a time.

Upload Medical Records

How often do you exercise?

Not at all

Once a month

Once a week

3+ per week

Height and Weight

Height

Weight

Are you pregnant?

Yes

No

Are you nursing?

Yes

No

Is there anything else you’d like your physician to know?

Back

Next: Upload ID

Please provide a valid ID

e.g: US Passport, Tribal ID, Driver's License or State ID.

Instructions

You can:

Take a picture of your ID using your computer or device camera.
Upload a photo of your ID from your computer or device.

Please remember: like any form of official ID (e.g. driver’s license, passport), the picture must be clear and easily identifiable.

Upload a photo of your ID

or

Take a photo of your ID

Back

Next: Select Plan

Select the plan that suits you.

Physician's Certificate (Renewal)

Physician's Certificate

Discount code

Applied discount:

Awesome! Have a $ discount.

Sub-Total

$199

Discount

-

Total

$199

Back

Next: Payment

You will only be billed if approved

Supported cards:

Payments via BluePay™
VISA
Mastercard
American Express
Discover
JCB
Dinners Club

Card number

Expiry MM/YY

CVC

Back

Next: Waiting Room

See a doctor online, in minutes

Verify your account

Registration

Get your medical card

Are you or do you require a caregiver?

Caregiver

Is this a renewal?

Diagnostic Information

Do you have allergies to any medication?

Do you have any food allergies?

Are you taking any medication?

Medical Records

Get your medical card

Please provide a valid ID

Get your medical card

Physician's Certificate (Renewal)

Physician's Certificate

Sub-Total

Discount

Total

Payment Information

You will only be billed if approved

Are you or do you require a caregiver?

Caregiver

Is this a renewal?

Diagnostic Information

Do you have allergies to any medication?

Do you have any food allergies?

Are you taking any medication?

Medical Records

Please provide a valid ID

Sub-Total

Discount

Total

You will only be billed if approved

Get your Virginia Medical Card

Quick, Simple and Secure

Only Billed if Approved