Upload Prescription Document

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This email will be used to contact you in-case there are any issues with the prescription
Click or drag files to this area to upload. You can upload up to 5 files.
SCREENSHOTS OF ONLINE PORTALS OR APPS ARE NOT ACCEPTED.

Prescriptions must include:
1) Your full name
2) Your prescribers full name and signature
3) The medication
4) The amount of refills

If you are missing any of the above information on your prescription, your order will not begin processing. This would cause delays in shipping times.
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