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Please upload a prescription and government ID that matches.

This is to ensure proper diagnoses and machine settings. Your prescription and government ID must match in order to be sold to any customers and/or patients.

Please upload your prescription here.

Name(Required)
Accepted file types: jpg, gif, png, pdf, doc, docx, pdf, Max. file size: 50 MB.
Accepted file types: jpg, gif, png, pdf, doc, docx, pdf, Max. file size: 50 MB.