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Complete Intake Form

The Process

  1. Fill out our Medical Intake Form below.
  2. A doctor will review your Intake Form. In some cases the doctor may contact you, but not usually.
  3. We send your prescription to our partnered pharmacy.
  4. The pharmacy ships your medication to you within 7-14 business days after we receive your Intake Form.
  5. Email us at if you have any questions.
Groupon Trimix