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Emergency Medication Supply -

Add-Ons

Gift Card / Promo Code:

$
Included with
  • Physician Consultancy Fee $30.00
  • Administrative Fee $59.00
Addon Amount $
Gift Card / Promo Code - $
Total $

If you'd like to continue with your purchase, click the "Proceed with Encounter" button below.

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Are you the parent or a direct guardian?

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You must be a parent or a Legal guardian to order for minor

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Weight (lbs) *

Height (inches) *

Shipping address

Billing address

Have you had a medical check up in the past 2 years?

We want to make sure you are healthy to take any medications in your kit.

Unable To Complete

Unfortunately, our physicians are unable to prescribe medications to you today.

We ask that you have a recent health checkup by your primary care doctor in order to ensure that the medications prescribed to you today will be appropriate and safe for you.

Do you have any current or previous history of kidney disease?

Please provide your doctor as much information about this as possible.

Do you have any current or previous history of liver disease?

Please provide your doctor as much information about your liver disease as possible.

Do you have Heart Rythm Disorder/Arrhythmia or QT Syndrome?

Please give your doctor as much information as possible about your prolonged QT syndrome

Do you take Warfarin or Coumadin?

Antibiotics come in your kit, IT IS VERY IMPORTANT to let us know if you have any allergies to antibiotics

You answered that you are allergic to antibiotics, please list as much information about this as possible.

This is your first message to your doctor

Please provide any other information about your health and request for your emergency kit that you would like your doctor to know.

Please acknowledge the following regarding proper use of your emergency kit:

I agree that in seeking out these medications I am making efforts to be better prepared medically for purposes of future travel, residing in an underserved medical area, to protect myself against potential supply issues, or due to mobility issues. I will only use these medications in consultation with a physician in person or remotely if at all possible. I understand that these medications are being prescribed only for myself and I will not share or give them to any other person.

Consent And Agreement

By clicking the "I Acknowledge" button, you confirm your agreement to the following:

    Review of Terms:

  • I have read and agree to the Important Notices and Terms, including the terms & conditions, and privacy policy on our Website.

    • Responsible Use of Medications:

  • I will use medications prescribed to me under the guidance of a qualified healthcare professional whenever such guidance is available.

  • I will inform my primary care physician of any significant changes to my health conditions.

  • I will store all medications securely and ensure they are out of reach of children

    • Prohibited Uses:

  • I am not seeking additional medications for use by friends or family members.

  • I am not seeking antibiotics to treat an active medical condition without appropriate consultation.

  • I am not seeking antibiotics to self-treat illnesses in non-emergent settings where traditional healthcare services are accessible.

  • I am not seeking antibiotics as a substitute for routine care provided by my primary healthcare provider

    • Purpose for Seeking Medications:

  • I understand that the purpose of obtaining these medications is to enhance medical preparedness for future travel, residence in underserved areas, to mitigate potential supply issues, or to address mobility challenges.

By proceeding, you acknowledge that you have read and agree to our Privacy Policy and Terms of Service.

Please read our privacy policy and terms & conditions

Any medical conditions your doctor should know about?

Are you taking any medications?

Note: Many medications have interactions, Your doctor needs to know every medication that you take to help avoid any harmful interactions.

Do you have any drug allergies or intolerances?

ID Verification

We'll need a clear picture of a valid ID or drivers license so we can make sure the data you provided is accurate.

Preview
$
Included with
  • Physician Consultancy Fee $30.00
  • Administrative Fee $59.00
Addon Amount $
Gift Card / Promo Code - $
Total $

Please note that once your prescription medication is approved and shipped, there are no refunds.

Payment

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Expiry Date

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