ADHD Referral

This page is for members who have seen a Health Pals (www.healthpals.co) Provider and have been referred for treatment via one of the subscriptions below. Upon initiating a subscription, a Pill Pals team member will verify that you have an established relationship with a Healthcare Provider.

NOTE: If you do not have an established relationship with a Healthcare Provider, you will not be permitted to initiate a treatment subscription, and your payment will be refunded. 

 

Select Your Payment Cycle
Sign Up For Pill Pals
    Strength: Very Weak
    *
    *
    *
    *
    *

    By checking the box above, I am indicating that I agree to the Privacy Policy and Terms of Use of the Pill Pals website. In addition, I have read the Electronic Signature Consent Statement, HIPAA Authorization & Disclosure, and Disclaimer pages.

    By checking this box and signing up for texts, you consent to receive text messages (e.g. account notifications and status reminders). Consent is not a condition of purchase. Msg & data rates may apply. Message frequency varies. Unsubscribe at any time by replying STOP or clicking the unsubscribe button link (where available).

    Here's Your Payment Options
    How do you want to pay?
    Payment Summary

    Your currently selected plan : , Plan Amount :
    Coupon Discount Amount : , Final Payable Amount: