If you have your recipe digital available (make a photo with your phone), you can already send it to us using this form. You will then receive your code, which you will need to order the prescription products. We also ask you to fill in a number of medical questions that we need to perform a safe medication monitoring. In completing this form, you will immediately receive your MED code, which you will also need to order the prescription products. Please also send your original recipe to us.