What information do I need to provide?

In order to obtain prescription sleep medication, you must complete an online doctor visit that includes a simple questionnaire. During your online doctor visit, please disclose if you suffer from any of the following issues:

  1. A history of depression, mental illness, or suicidal thoughts
  2. Severe sleep apnea
  3. Kidney or liver problems
  4. A history of drug or alcohol abuse or addiction
  5. A history of glaucoma or urinary retention
  6. Any other medical conditions
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