Next Steps:

● Complete the form with your information.

● We will contact you by phone to schedule a telehealth appointment.

● You will meet with a provider, and if Caya is appropriate, a prescription will be
written and submitted to our mail order pharmacy.

● Caya will be shipped to your preferred address using our mail order
pharmacy.

Please Note: Your prescription will be sent to the Tampa Specialty Pharmacy which
may have additional charges.

Before you finish this form, we wanted to share the exciting news. My Virtual Physician now has its own app. Available now on Android phones/tablets from the Google Play Store. Click here to download https://play.google.com/store/apps/details?id=com.lifehealthwalletusa.lifehealthwalletusa&hl=en&gl=US