$99 Same Day Express Diagnosis

Billing / Order Form

If you understand the process of obtaining your medical use card (and have no need to speak with a representative) and you would like or need an express diagnosis please, Please fill out the form below. You will then be directed to PayPal where you can log in or pay with your credit card. The cost for the diagnosis is $99 and if for some reason you do not qualify, nothing will be charged to your card and/or your card will be refunded in full. Expect a call back from the on call trauma specialist within an hour of completing the payment form.

$ 0.00
/
Pay securely by Credit or Debit card through Authorize.Net
The diagnosis and subsequent medical record we provide you is guaranteed to be accepted in all 37 states with legalized medical use laws. By clicking submit, I understand the process for getting my medical use card includes having a valid medical record reflecting a diagnosis of one of the qualifying conditions as outlined by my state. I understand that my credit card will only be charged if I receive a diagnosis and valid medical record. In the event I do not qualify for a diagnosis, I will be charged nothing.