STEP #1: Select A Plan
| Item | Price |
|---|---|
| $299.00 | |
| $997.00 | |
| $1497.00 | |
| $0 | |
| $0 | |
| $0 | |
| $284 | |
| $947 | |
| $1,422 | |
| $269 | |
| $897 | |
| $1,347 | |
| $254 | |
| $847 | |
| $1,272 | |
| $239 | |
| $797 | |
| $1,197 |
Enter Your Promo Code Below (If you have one)
STEP #2: Contact Information
STEP #3: Billing Address
STEP #4: Payment Information
STEP #5: Payment Authorization
By Checking this box I authorize a (1) one time charge of the amount below to the credit card listed in this authorization form. The payment authorization is for the service of a non-refundable telemedicine membership with a licensed doctor in your state. Your doctor consultations may be reimbursable with your insurance provider. I certify that I’m an authorized user of this card and will not dispute this payment with my card company, so long as the transaction corresponds to the terms and conditions.
Patient Authorizes
| Item | Amount |
|---|---|
| Dynamically Updated | $XX.00 |
SOME GREAT PERKSÂ
OFÂ MEMBERSHIPÂ
- Start-Up Lab Test - Full Panel Blood Diagnostic
- Initial & 30 Day Follow-Up Consultations with Doctor
- Quarterly Review Doctor Consultations & Lab Testing
- Wholesale Pharmacy - Full Access for all Meds!     Home Delivery & 20% to 60% SAVINGS!
SERVICES ATPRIMAL MEDICAL
- Performance Primary Care
- Nutritional Consultation & Planning
- Diagnostics & Preventive Screening
- Hormone Optimization (Male and female)
- Anti-Aging Therapy
- Medical Weight-Loss
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