Diet Doc Program – My Diet Doc
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Please complete the billing section prior to accessing the patient forms section.

Patient Form

Now let’s setup a doctor consultation so that we can process and ship that order (prescriptions can’t be mailed from the pharmacy until you’ve completed your consultation.)

  • Please complete this form providing your full name and date of birth
  • You will receive an email from Perfect Health Technologies to create an account. You will also receive an additional email with the patient consent forms.
  • Once your account is created, click on “Appointments” tab to request a preferred date/time for your consult. (nutrition consultations are also available but not mandatory). Our doctors work Monday–Friday 9-6 pm and Saturday 8-1 pm PST.
  • Once you’ve completed your consultation with one of our doctors, we’ll submit your prescription to the pharmacy to be filled. Prescriptions are sent via FedEx 3-day shipping. Tracking details will be emailed to you directly.

While you wait for your consultation, check out these valuable resources:

You’ll find nutritional info in this video: https://youtu.be/TzLOpiis4K8

Check out our Rapid Weight Loss Workbook, eCookbook, and other free resources here: http://dietdoc.com/workbooks/

Learn from our Medical Director, Dr. Rao, in our Video Library: https://www.dietdoc.com/video-library/

Call us anytime Monday–Saturday if you have questions: 800-581-5038 or email info@dietdoc.com

Name:

Email:

Thank you. Your order has been received.

  • Order Number: 0
  • Date: 2017-03-18 13:15:45


    Good day!

    I have invited you to register on our online portal in which you will have access to your patient chart and request for a Doctor and/or Nutritional consultation anytime you need guidance on your program.

    In the mean time for your consultation to get your prescription kindly reply with the best time to schedule your appointment with the doctor or take advantage of our patient portal appointment request option. Please do not forget to register and answer the questionnaires as the doctor will need executed forms prior to your consultation.

    The Email will come from PERFECT HEALTH TECHNOLOGY.
    Subject Line: Patient Portal Registration.

    STEPS TO REGISTER:

    1. After opening the email please click the Link at the bottom part. ( Chrome – best Browser to use)
    2. Enter your Date of Birth
    3. Create your Username and Password.
    4. Log in: Instead of email use the Username that you just created.

    To Request for Consultation:
    Click on Appointment – You may choose up to 3 schedules – in case your first preferred schedule is fully booked we will do our best to accommodate your next schedule choice. Please don’t forget to answer the questionnaires prior to your appointment, by law the doctor cannot call without your executed forms.

    Should you need further assistance please don’t hesitate to call us at 800 581 5038 or email us at Service@dietdoc.info OR Charie@dietdoc.info

    Thank you,
    DietDoc
    800 581 5038

     

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