• Let's Get Started!

  • Let's dive right in and determine if you are new to us or not. If applicable, we will ask you a series of simple medical questions to ensure that ED meds are right for you. Please be sure to answer all questions with a red asterisk (*).

    ~ Dr. Jason Engel 

  • Image field 96

  • Do you take nitrates?

  • (e.g. nitroglycerine for angina or amyl nitrite / "poppers") or do you ever have what could be cardiac related chest pain?*

  • Information on Nitrates & ED Medication

    ED medications such as Sildenafil (Viagra) and Tadalafil (Cialis) are contraindicated in the setting of usage of nitrates for cardiac or other conditions.

    We can still offer you solutions through our practice at Urologic Surgeons of Washington. Click here for an appointment

  • Are you requesting a refill?

  • Only click "yes" if you have seen us within the past year for a consultation and your medical history has not changed.*

  • Let us ask you 8 short medical questions to ensure your eligibility for ED meds and to help you most specifically.

  • Please tell us your degree of Erectile Dysfunction*
  • Tell us if you have used Erectile Dysfunction medication before*
  • Do you experience premature ejaculation?*
  • Do you have serious cardiovascular (heart) or ophthalmologic (eye) concerns?*
  • Do you have absolutely no interest in sex?*
  • Do you have any known drug allergies*
  • Have you had previous surgery(ies) that you believe have affected your erections*
  • Recently, have you experienced fainting, almost fainting, severe headaches, blurry or double vision and/or recurrent nosebleeds?*

  • Now we need to get your demographic information. Please be assured that we will never share any of your information with anyone or solicit you in any way.

  • Format: (000) 000-0000.
  • Your Date of Birth (Must be over 21 years of age)*
     - -

  • For Refills Only

  • Date Of Birth*
     - -
  • Format: (000) 000-0000.
  • Has your mailing address changed since your last order?*

  • Would you like to receive text messages from us?

  • We will make sure you received your order on time, remind you about refills, and ask if the medicines are effective. If not effective, we’ll make it easy to see you as a patient in our practice to discuss alternatives. We will absolutely not text you solicitations or share your information with anyone.*

  • Now we need your order. 

  • How Many Pills Would You Like to Order?

  • Reminder: A typical dose is 50mg Sildenafil or 10mg Tadalafil. Pills are easily cut in half.

    Please choose one or more options above and click next to schedule your consultation and free pick-up at our DC Office. Mail-order options are coming soon.

  •  

  • Final Step & Submission

  • Thanks for verifying your information. Once you click "submit" below, we will process your order.

  • Choose Your Consultation Date
     - -

  • We will be in touch with you within a few hours to confirm your appointment. Often, we can accommodate your appointment on the same-day as your order.

  • Should be Empty: