Prequalification

  • Where can our doctor reach you after they have reviewed your pre-qualification form?
  • By proceeding you are agreeing to our terms and conditions and privacy policy.
  • Your telemedicine visit will be completed using eVisit. We have chosen eVisit as our 100% HIPAA Compliant telemedicine platform. In the last step you will enter your patient information securely.
  • This field is for validation purposes and should be left unchanged.