Sign up for Rx InfoCard Membership - Personal Medical Card for Wallet

Sign Up

New Membership: Annual membership is $34.95 and includes member portal and unlimited updates.

Personal Information

First Name

Last Name

Phone Number

DOB

Shipping Information

Address

Apartment, studio, floor

City

State

Zip

Physician Information

Physician Name

Physician Phone Number

In Case Of Emergency Contact Information

First Name

Last Name

Phone Number

Please check the box if you have read and agree with the user agreement

New Membership

The total amount you will be charged today:

$34.95

Account Information

Email Address

Confirm Email Address

Choose a Password

Confirm Password

Show Password

Referral Code

We will send you an email reminder every 3 months to check that you rmedications are up to date. (Uncheck the box if you do not want to receive email reminders)

Billing Information

Name on Card

Card Number

Expiration

CVC

INFORMATION FROM RX INFOCARD

Adverse drug reactions could kill you

2 million serious injures/year
100,000 deaths each year
Most incidents are PREVENTABLE!

Carry the Rx InfoCard - It could save your life

Rx InfoCard Members

"This card is indispensable. All of my Doctor's LOVE it!" - Mary, Massachusetts
"This card caught a potential drug interaction. I will never be without it!" - David, Maine

Carry the Rx InfoCard - It could save your life