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Name
Dr. Cruz MUST BE LICENSED in your state in order to treat you. DO NOT SCHEDULE IF YOU LIVE IN: AL, NY, OH, WA *Sorry, USA ONLY. Cannot service Guam, Canada, Puerto Rico.
Billing Address
This is where you were on-demand telehealth link will be sent.

After you submit this form, you will receive a confirmation, receipt, and 4 links immediately. Please be prepared to complete the consultation video and Medical Intake Form [takes 5 minutes] within the next 120 minutes from the time you start the 53-minute telehealth educational video consultation. If NOT completed in time, do not worry simply email us at KimRegenMed@gmail.com. Completion of your Medical Intake Form will ensure that your prescriptions are issued promptly.

This is an on-demand telehealth consultation. This is meant to start immediately.

I understand my fee is nonrefundable once I submit my registration. I understand and accept all terms including the controversial off-label legal use of medications for my benefit as well as any known and unknown risks.
Price: $ 5.00
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