Step-1: Fill the Application form
Please provide the information about you
Upload your DL (front side)
Upload your Selfie
Step-2: Medical symptoms
What is/are the main medical problem(s) which you currently have or have had in the past?
Are you RENEWING your recommendation (Have you had a recommendation in the last 10 years)?
Do you currently use specific medications for your medical condition?
Are you taking any prescription medications or herbs?
Are you taking any prescription medications or herbs?
Do you have any allergies to any medications?
Have you ever had any surgeries or been hospitalized?
Do you exercise?
Do you smoke tobacco?
Do you drink alcohol?
Are there health/medical problems that occur frequently in your family?
Have you experienced or been diagnosed with any of the following?
Do you want a discount?
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You've made an order on the web-site, which is Marketing Lead Generator and works, as required by law, under the medical license of HighCare medical clinic (http://highcare.us) with its main office located at 601 S. Figueroa Street, Los Angeles, CA 90017, Telephone Number 888-486-9577 (TDD/TYY), email HighCare online clinic works round the clock however there might be slight delays in responses from the support team during off hours.
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