Get Started Now

For Patients 

The process is simple and convenient for your busy lifestyle. 

Follow the easy 1-2-3 steps below:

  1. Click on Get Started Now
  2. Verify your referral code (at the top left corner of this form)
  3. Follow the prompts and either set up an appointment to see a specialist or request an on demand appointment

For Referring Office:

Referring your patient is simple and efficient.  Follow the easy steps below:

  1. Click to Refer a Patient
  2. Input your referral code (at the top left corner of this form)
  3. Follow the prompts for easy and convenient scheduling

For more information please email contactus@restassuredrx.com.

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