I ordered from them on 10/18. Nobody picks up the phone, but they do seem to care. Vicky called me in response to my e-mails. To answer your question directly, they tried to find someone to give me a paramedical exam for about 3/4 days (I assumed they had connections already) but called me and advised me to go to a local doctor and get the exam there. Very strange. Nonetheless, it all worked out with the consult and the meds- but expensive ($145 for local doc visit plus consult fee). Major concerns on this board center around refills. Due to order 1 in a week. Will keep board posted.