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Select Current Location

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Would you like to expedite this visit?^*

Choose your preferred option

Yes! Prioritize my visit10-15 minutes
A medical provider will review and process your prescription within 10 to 30 minutes of submitting this intake form

Agreement

Oftentimes, additional information may be needed to complete an online evaluation. The visit time may be prolonged or extended if you do NOT respond to Partner's emails, phone calls or sms within 5 minutes. This service is not refundable.

+$10

No! I'm Ok with the standard processing 1-2 hours
A medical provider will review and process your prescription within 10 to 30 minutes of submitting this intake form

Agreement

The processing time may be prolonged or extended during holidays or if additional information is needed by the medical team.

+$0

Subtotal Amount : $39. 99

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What additional services did you want?

Select services.

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+$10

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+$10

Subtotal Amount : $39. 99

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Would you like to add any products to your visit today?

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$86.00

Ultra Lux Concentrated Retinol Serum

Rejuvenating PM Serum + Advanced Anti-Aging

Buy Now

$38.00

Lux Itch Relief Cream

+ Medical Grade + Dermatologist Recommended + Luxury Skincare

Buy Now

$65.00

Lux Dark Circle Correcting Treatment

+ Medical Grade + Dermatologist Recommended + Luxury Skincare

Buy Now

Subtotal Amount : $39. 99

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Would you like to add a lab test ? ^*

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Lab 1

+$10

Lab 2

+$30

Subtotal Amount : $59. 99

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Partner question flow^*

Question 1

Question 2

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Zip Code ^*

City^*

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List of pharmacies in selected location .

Please, Select a Preferred Location

Ruwe Family Pharmacy Covington

434 Scott St Covington, KY 410112342 | Ph: (859) 431-3304

RITE AID-1791 UTICA AVE

1791 UTICA AVENUE BROOKLYN, NY 112342120 | Ph: (718) 241-3559

CVS Pharmacy # 2769

4901 KINGS HIGHWAY BROOKLYN, NY 11234 | Ph: (718) 252-7170

Selected Pharmacy

Change Pharmacy

Send my Rx to this pharmacy

Houston's Second Drugstore!

Line 1 Line 2, New York, DC 12231.
(984) 871-6202 (P)

[email protected]

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Payment

4 M : 00 S

Order Summary

Category Price

condition

$39.00

Lab Tests (2)

ⓘ

Cholesterol (Lipid) Test $45
Electrolyte and Vitamin $4

$39.00

Add-On Services (6)

ⓘ

Strep Throat
Allergies
Ear Infection
Trichomoniasis
Menstrual Suppression

$39.00

Total Amount

$174.99

Payment Information

Credit Card Number

visa, master, american express any card can be valid

Name on credit card

Zipcode

CVV

Expiration Date

PAYNOW $39.99

Thank you for submitting your consultation!

Your payment was successful and a provider will be reviewing your visit shortly.

Please note that your treatment plan should be ready and sent to your pharmacy to fill in 1-2 hours if no further follow-up from a provider is needed. If at any time you have any questions or need assistance, connect with our patient support team at [email protected].

Next Steps

Check your email for updates
- If more information is needed to complete your visit, you will receive a notification via email
- Once your visit is complete you will receive a treatment plan from a provider via email
After your treatment plan has been sent, connect with your pharmacy for information on when they will have your prescription ready for pick-up. If you selected home delivery your prescription will be sent to you.
Patient support is available 24/7, connect with them at [email protected] at any time for assistance

Partner Visit Tracker

Always know the status of your visit by viewing the consultation tracker in your patient portal.


Paid Payment successful	Awaiting Response A Medical Provider has been assigned to review your chart. This typically takes less than 2 hours	Transmitting Rx We're sending your prescription electronically to the pharmacy.	Completed Visit successful

Where are you presently located?

Let's make sure we are licensed in your state

Select A Preferred Medication*

Strength

Quantity

Strength

Quantity

SELECT PAYMENT OPTION

Would you like to expedite this visit?*

Choose your preferred option

Subtotal Amount : $39. 99

What additional services did you want?

Select services.

Subtotal Amount : $39. 99

Would you like to add any products to your visit today?

Lorem ipsum dolor sit.

$86.00

Ultra Lux Concentrated Retinol Serum

$38.00

Lux Itch Relief Cream

$65.00

Lux Dark Circle Correcting Treatment

Subtotal Amount : $39. 99

Would you like to add a lab test ? *

Lorem ipsum dolor sit.

Subtotal Amount : $59. 99

Partner question flow*

Which pharmacy would you like to use?

List of pharmacies in selected location .

Please, Select a Preferred Location

Selected Pharmacy

Send my Rx to this pharmacy

Houston's Second Drugstore!

Line 1 Line 2, New York, DC 12231. (984) 871-6202 (P)

[email protected]

Payment

Order Summary

Payment Information

Thank you for submitting your consultation!

Your payment was successful and a provider will be reviewing your visit shortly.

Next Steps

Partner Visit Tracker

Always know the status of your visit by viewing the consultation tracker in your patient portal.

Transaction ID :#40051854929

Consultation

Medical Service

$29

Quantity - 1

10 Items added to your cart

$39.99

$45.55

Featured items

$39.99

$39.99

Subtotal

$305.74

Leaving so soon?

Thank you!

Select A Preferred Medication^*

Would you like to expedite this visit?^*

Would you like to add a lab test ? ^*

Partner question flow^*

Line 1 Line 2, New York, DC 12231.
(984) 871-6202 (P)