Prime Care Enrollment

Book a Virtual Pharmacist Consultation

Request an immediate-need virtual pharmacist consultation. Our team will follow up to confirm payment and your appointment time.

Secure enrollment form Please complete this form on a private device. Medical and enrollment information may be HIPAA compliant.

Your Information

Tell us how to reach you.

Full Name *

Email Address *

WhatsApp Number *

The pharmacist will contact you at this number.

Describe what you need and your preferred length and time.

What do you need help with? *

Preferred Length *

15 minutes ($35) 30 minutes ($65) 45 minutes ($90) 60 minutes ($115)

Preferred Date

Preferred Time

Include your time zone.