Hello, mnpd.
If I can recall correctly...I believe after you have filled out the necessary information and submitted it, then you should check the 'Order Status' or 'Track Your Medication' by filling in your email address and zipcode. It will take you to your order page and there it should provide you with more information (i.e. "Please call the Doctor for your consultation at ###-###-####). When I had utilized their service earlier in the year, I just checked the order status while waiting for the consultation appointment email from them. Luckily, it instructed me to call and I was able to have my consultation with the doctor promptly.
Regarding your second question, there are talks about new regulations on refills (I don't know for sure how valid they are), but previously, a one-time consultation payment would result in two refills...as long as your needs for the medications were warranted. I hope this helps and good luck.
P.S. Please send your medical records over to them. This OP is one of the best and legitimately reputable for the medically challenged/uninsured. They seem to stay compliant so there's no reason for any complaints.