MedCardMD – Book an Appointment
Request your virtual appointment and choose a preferred date and time for telehealth certification.
First name
*
First Name
Last Name
Last name
*
First Name
Last Name
Mobile phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Appointment type
*
New certification – $150
Renewal – $100
State
*
Please Select
West Virginia
Florida
Preferred date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preferred time
*
Morning (9am–12pm)
Afternoon (12pm–5pm)
Any time
Do you have medical records for a qualifying condition?
Yes
No
Not sure
Anything we should know?
Request Appointment
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