I thought these guys were scammers at first, but after some digging things looked legit. They accept PayPal so I decided to give it a shot. After a 10 minute chat with a nurse practitioner from Portland, I got my cards emailed to me and the official cards arrived in the mail a week later. As someone with wicked anxiety, it was great going through the whole process from the comfort of my bedroom, and the fee is about half what the local doctors and shops want for walk-ins.