Getting
Started
Documents
Pre-appointment checklist
NJ drivers license/state ID
Current NJ drivers license or non driver ID
Referral Letter
This is a letter written by your managing provider or primary care physician stating the qualifying condition
Proof of address
Must be a utility Bill
2x2 passport style photo
Can be done with “passport photo” app or at local pharmacy chain
Click below to fill out our hipaa compliant patient form and telehealth consent
The physician will contact you for an introduction and review of medical records. A telehealth call will be scheduled at this time. (optional) Request a a free phone consultation or a text with program information prior to submitting