Get Notifications When Your RX is Ready!

Get Notifications When Your RX is Ready!
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Needed for pt/record verification
Which Cheek & Scott do you use?*

JasperLake CityLive Oak
How should we notify you (you can select multiple)?*

SMS Text Message to the Number Above (must be a Cell phone)Email NotificationGet a Recorded Voice Call Notification to the above Phone number.
Comments:
Don't forget to Download Our App: RxLocal
Link: https://rxlocal.us/app

Or send "rxlocal" as a TXT message to 64890.
Should be Empty: