Live Intake Call

Medical Exemption ID Survey

Enter the FULL NAME of the recipient. Be sure you can accept mail in the name/address you provide.
Drop your file here or click here to upload You can upload up to 1 files.
Please add a digital Passport sized photo of yourself up against a White Wall (Picture can be taken with Phone)
Admin Business Hours

  • Monday11am - 6pm
  • Tuesday11am - 6pm
  • Wednesday11am - 6pm
  • Thursday11am - 6pm
  • Friday11am - 6pm
  • SaturdayClosed
  • SundayClosed