Video Request Thank you for your desire to watch our videos. In only a few minutes they will give you a good overview of the process. Name* First Last Business/Practice Name*Your Role*PhysicianPractice ManagerOtherEmail* PhoneNumber of PhysiciansNumber of LocationsDoes your practice see Workman's Comp Patients?YesNoTime ZoneEasternCentralMountainPacificAlaskaHawaiiAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Terms* Submitting this form indicates you agree to the following terms: By requesting to see these videos you agree that you are in business to directly provide medical services to patients that might benefit from a dispensing program or you are support staff or business offices supporting said medical facility. MedX Companies and The RX Firm work with medical providers whose primary goal is the health, wellness and compliance of their patients. Being profitable is part of running any business and our business model is designed to insure your practice is most profitable while taking care that patient compliance is improved and patient wellness is enhanced. Your IP address is collected upon submitting this request.