Get Started | Wellness Institute Rx

Select Your State

State *

Choose Your Service

Service *

Appointment Mode *

Schedule Your Appointment

Appointment Date *

Select a Medication Plan

Your Information

Online ordering is only for patients 18 years of age or older. Please enter your details exactly as they appear on your government-issued ID.

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Type your date as MM/DD/YYYY, or pick it from the calendar.

Gender *

Address Line 1 *

City *

State *

ZIP Code *

By checking this box, I agree to receive SMS text messages from , including appointment confirmations, reminders, and wellness-related updates. Message frequency varies. Message & data rates may apply. Reply STOP to opt out or HELP for assistance.

I agree to receive email notifications for appointment reminders and updates.

By checking, I accept the Terms & Conditions and Privacy Policy, and acknowledge the HIPAA Notice of Privacy Practices. *

Create your secure client portal account * Your portal is where you message your prescribing provider and our support team, review provider instructions, and track your orders and subscription. After you place your order we'll email you a secure link to set your own password — we never create one on your behalf. Already have a portal account? Please tick the box anyway — we'll add this order to your existing account (same email). Your password stays the same and no second account is created.

Your Information

Online booking is only for patients who are 18 years of age or older. Please enter your details exactly as they appear on your government-issued ID.

Personal information

First Name *

Last Name *

Email *

Phone Number *

Date of Birth *

Type your date as MM/DD/YYYY, or pick it from the calendar.

You must be 18 or older to complete an online booking.

Gender *

Billing address

Address Line 1 *

Address Line 2

City *

State *

Zipcode *

Additional information

Comments

How did you hear about us?

By checking this box, I agree to receive SMS text messages from , including appointment confirmations, reminders, and wellness-related updates. Message frequency varies. Message & data rates may apply. Reply STOP to opt out or HELP for assistance.

I agree to receive email notifications for appointment reminders and updates.

By checking, I accept the Terms & Conditions and Privacy Policy, and acknowledge the HIPAA Notice of Privacy Practices. *

Create a client portal account View/Manage your upcoming and past appointments/orders online. If checked, you'll receive a secure link by email to set your own password — no password is created on your behalf. Already have a portal account? No need to tick this — bookings made with the same email are added to your existing account automatically.

Select Your State

Choose Your Service

Schedule Your Appointment

Select a Medication Plan

Your Information

Your Information

Personal information

Billing address

Additional information

A few more questions

Medical Screening

Service Not Available

Doctor Verification

TeleHealth Not Available