COMP Membership Application
Compassionate Membership Program.
Valid for:
1. AIDS/ HIV
2. Anorexia
3. Cachexia
4. Chemotherapy Patients
5. Crohn's
6. Epilepsy
7. Glaucoma
8. MS
9. Seizures
10. Sleep Disorder
11. Terminal Diagnosed Cancers
12. PTSD US Military Combat Veterans.
  • Not available in:

    Alaska - Hawaii - Idaho - Kansas - Nebraska - South Dakota or Texas.
  • This information is destroyed, upon confirmation by your doctor. (Will hold up to, 30 days. Pending confirmation)
  • Please provide any form of documentation, or physicians statement.
  • Must accompany physicians diagnosis of PTSD
  • We can not provide medicine without verification by your physician.

  • IF APPROVED

    1. You will be contacted by email.
    2. You will be added to our VIP Members Club, for 6 months.
    4. You will use, "Members Order Form"

    You must reapply every 6 months to renew.
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