Kansas Tint Exemption

Start Your Application

Complete the form below to begin your consultation

⚠️ IMPORTANT: Medical Documentation Required

You MUST have medical documentation of your condition to receive an exemption. Our physicians practice legitimately and can only write prescriptions for verified medical conditions.

📋 Acceptable documentation includes:

Doctor's diagnosis letter or medical records
Previous prescriptions for your condition
Specialist referral or treatment documentation
Hospital discharge papers mentioning your condition

💰 $25 NON-REFUNDABLE FEE: If you attend your consultation WITHOUT proper medical documentation, a $25 processing fee will be deducted from any refund. This covers physician time and processing costs.

First Name *

Last Name *

Email Address *

Phone Number *

We'll call this number for your consultation

Primary Medical Condition *

Additional Information (Optional)

✓ I CONFIRM that I have medical documentation (doctor's records, diagnosis, or prescription) proving my light-sensitive condition. I understand that if I attend my consultation WITHOUT this documentation, I may not receive an exemption and a $25 non-refundable processing fee will apply to any refund.

I understand that this is a telemedicine consultation and I consent to receive a phone call from a licensed physician. I have read and agree to the Privacy Policy and Refund Policy.

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Order Summary

Kansas Tint Exemption$349

End of Year Discount-$100

Total$249

Money-Back Guarantee

Full refund if you don't qualify for an exemption

Documentation Required

Bring proof of your medical condition. $25 fee applies without documentation.

What's Included:

Phone consultation with licensed physician
Medical exemption certificate
No DMV filing needed
Lifetime customer support
Valid in Kansas

Secure payment

What Happens Next?

1Complete this form and payment
2We'll call you within 24 hours for your consultation
3Receive your certificate via email

Questions? Contact us