Medical Certification

STEP 1 OF 4

Unique ID

Unique ID

Confirm Address

Required Info

Review & Submit

We appreciate your efforts to electronically complete the medical certificate for our customer.  Please enter the Unique ID that you received from your patient below and click Next to continue.

If you are having issues with the Unique ID please call the med cert department at (1-866-596-1783) with any questions.