Online Prescription Request

Speak to an IMC-registered doctor — no appointment needed. Fill out the form below and our team will be in touch within 1–2 business days.

Complete the form below to request your prescription

Prescription Type*

First Name*

Last Name*

Date of Birth*

Year

Month

Day

Your email*

Phone Number*

What are your main health concerns?*

0 / 500

Pharmacy Nameoptional

0 / 250

Your Addressoptional

0 / 500

Upload a file (old prescription / PDF / image)optional

Drag and drop your file here, or browse

PDF, PNG, JPG up to 10MB

Who is this service for:

If you need treatment for chronic or long-term medications, or if you require vaccines such as the Seasonal Influenza or Pneumococcal vaccine, we are here to assist you.

Please note: In certain cases, our doctors may recommend a video consultation to ensure a thorough evaluation and the most appropriate treatment plan.

IMPORTANT: Our doctors do not typically prescribe controlled drugs. This includes, but is not limited to, opioids, benzodiazepines, sleep aids, and ADHD medications (both stimulant and non-stimulant varieties).

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