Patient Agreement
Fill out & sign the form below to order your antibiotics today

How it Works

JASE Medical handles everything from online evaluation to licensed pharmacy medication delivery and ongoing consultation and care. 
1. Online Visit
Fill out our simple online form for evaluation from a board-certified physician.
2. Delivery
Your medication will be sent directly to your home.
3. Ongoing Care
Send your physician a message anytime for answers to any treatment-related questions.
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