Records Request Payment

Your request has been received. Your records will be processed upon receipt of your payment. Make your selection and click on the Pay Now button for your doctor which will direct you PayPal. Note: You don’t have to have a PayPal account.

Please be sure you are selecting YOUR doctor. If you select the incorrect doctor your prescription will be delayed and you will be required to resubmit payment to the correct doctor.

You will be responsible for fees incurred in the processing of a credit to your account.