Order Form Instructions
To complete your order, simply follow 5 easy steps ensuring that all required fields are completed in full.
Step 1 – Personal Contact Information
We use this information to create a customized account for you. All personal information remains confidential as we adhere to strict privacy standards and assure that personal information will not be distributed to any third parties other than for the purposes of completing and shipping your order.
Step 2 – Order Details
Please ensure that you have indicated the medication, strength, quantity, and price of the medication you are purchasing. Also, please indicate whether you have taken this medication before.
Step 3 – Payment Information
Please choose a payment option. We accept Visa, MasterCard, E-check, ACH, and Personal Check or you can choose to pay with bank transfer. Please send an email at email@example.com to request for bank details. You can correct factual errors in your personally identifiable information by sending us a request that credibly shows error.
Step 4 – Medical Information
This information is required to process any prescription (Rx) medication order. Rest assured, the information you provide is strictly confidential and is used solely by our pharmacist for patient care purposes only. Customers ordering non-prescription (OTC) items only or returning customers who do not have updates to their health status can skip this step.
Step 5 – Customer Agreement and submitting Order
Please review, sign and date the acknowledgment of the Customer Agreement. You may then submit your order form and any required documents by:
We also offer convenient online ordering and our call center is open Monday to Friday 9 am to 5 pm Eastern Time. Should you wish to place your order over the phone by calling toll-free from the USA :1-800-986-4714
Call Toll free: 1-800-986-4714 Toll Free Fax: 1-800-986-4751 Email: firstname.lastname@example.org
For any other inquiries related to your order, payment, billing etc. please contact us at email@example.com