Laptop
Entering credit card details

AFTER

4 EASY STEPS

Step One:

Meet Qualifying Medical Conditions

 

Step Two:

Set An Appointment

 

Step Three:

Submit Form

 

Step Four:

Make Your Payment

STEP ONE:
MEET QUALIFYING
MEDICAL CONDITIONS

  • Cancer

  • Position status for human immunodeficiency virus or acquired immune deficiency syndrome

  • Amyotrophic lateral sclerosis

  • Parkinson’s disease

  • Multiple sclerosis

  • Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity

  • Epilepsy

  • Neuropathies

  • Huntington’s disease

  • Crohn’s disease

  • Post-traumatic stress disorder

  • Intractable seizures

  • Sickle cell anemia

  • Severe chronic or intractable pain of neuropathic origin or severe chronic or intractable pain

  • Terminal illness that is defined as a medical prognosis of life expectancy of approximately one year or less if the illness runs its normal course

STEP TWO:
SCHEDULE AN APPOINTMENT

Note:

Scheduling a visit does not guarantee a card. Documentation rules are strict and you must have prior documentation from a different physician verifying your qualifying medical condition. If you have any questions about this please contact our offices prior to scheduling a visit. I respond in real time from noon-7pm Monday through Friday.

STEP THREE:
SUBMIT FORM

Entering credit card details

STEP FOUR:
MAKE YOUR PAYMENT