PLEASE NOTE: This form places the patient information into the patient portal system only. The patient must still complete their registration on the portal by accepting the invite sent by email, which is automatically sent once the form above is completed. Once a client activates their account all purchases made by the client on the patient portal ecommerce store are tracked and linked to the clinic's account number for retail profit tracking purposes.
*This product is not for use by or sale to persons under the age of 18. This product should be used only as directed on the label. It should not be used if you are pregnant or nursing. Consult with a physician before use if you have a serious medical condition or use prescription medications. A Doctor’s advice should be sought before using this and any supplemental dietary product. All trademarks and copyrights are property of their respective owners and are not affiliated with nor do they endorse this product.
*These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Hilltop Meds, LLC and Hilltop USA Distribution are proud partners with Paragon Method, Inc., Hilltop USA's exclusive online CBD virtual clinic management service.
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