Welcome to Urgent Med's Online Doctor's Visit!!
Patient Check in
Tell us a little about yourself.
What is your First Name?
What is your Last Name?
What Month Were you Born in ?
What is your Email address?
Please enter Mobile Number ?
Issue or Symptom:
Credit Card Information:
Name on Card
Card Number
Expiration Date
Month
Jan (01)
Feb (02)
Mar (03)
Apr (04)
May (05)
June (06)
July (07)
Aug (08)
Sep (09)
Oct (10)
Nov (11)
Dec (12)
2018
2019
2020
2021
2022
2023
Card CVV
Is your information Correct ?
First Name
Last Name
Date Of Birth
Mobile Number
Email Address
Card Holder's Name
Debit/Credit Card Number
Expiry Month
Expiry Year
CVV
Issue or Symptoms
Check – In Complete.
The consulation fee is $50 and your credit card will be charged for the Amount . Please click on the button below to start the call.
Start Your Video Call Now
