Signature and date required before submission.
My signature below indicates that all financial information is mine and if I am approved for medication financing I promise to pay off the balance I have with Morgan RX Loan. If I fail to make a monthly payment, Morgan RX Loan will contact me for payment directly. Morgan RX Loan reserves the right to send my account to collections if I default on the proposed payment agreement.
Consent To Obtain Credit Report
You have indicated that you're interested in financing options for your medications.
In order to prequalify you today, we will request your credit report.