




Thank You For Your Order
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By submitting this form you are agreeing to pay a $50 consultation fee if you are a new patient. If you are a previous patient and this is your second refill a $25 fee will be charged. If you are not approved for a prescription, you will not be charged. For all approved prescriptions VLS will appear on your credit card statement.
You will receive one e-mail message today confirming receipt of this order. A second e-mail will be sent within 24 to 48 hours only after the physician approves your prescription to provide you with a UPS (www.ups.com) tracking number. You can also login to your account on our website and check the status of the order under your history section. Please be patient.
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