Upload Your Prescription
Use this page to upload your prescription, paper prescription, referral, or supporting document for review. Our team will verify the information before moving forward with your request.
You may take a photo with your phone camera, upload from your gallery, or upload a PDF from your device.
What you can upload here
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Physician prescription
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Paper prescription image scan
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Referral form
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Supporting medical documentation
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Before you submit
Make sure the uploaded prescription includes enough information for our team to review it clearly.
Clear document Make sure the photo or scan is readable and not blurry.
Patient details Include the correct patient name and date of birth.
Provider informationIf available, include the provider or clinic name.
Verification requiredSubmissions may be reviewed before account or supply approval.
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