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?

Anxiety

Cancer

Chronic Pain

Depression

Insomnia

Migraine/Severe Headaches

Post-Traumatic Stress Disorder (PTSD)

Severe Nausea

Other

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

Are you pregnant?

Yes

No

Are you nursing?

Yes

No

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

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Next: Upload ID

Please provide a valid ID

e.g: Passport, 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 picture of your ID

or

Take a photo of your ID

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Next: Select Plan

Select the plan that suits you.

12 Month Letter of Recomendation
12 Month Electronic Recommendation

12 Month Letter of Recomendation
12 Month Electronic Recommendation
Medical ID Card

Sub-Total

$59

Discount

-

Total

$59

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Next: Payment

You will only be billed if approved

Supported cards:

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

Card number

Expiry MM/YY

CVC

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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?

Get your medical card

Please provide a valid ID

Get your medical card

Basic

ID Card

Sub-Total

Discount

Total

Payment Information

You will only be billed if approved