A method for dispensing medical items designated in a prescription, such as an electronic prescription, including providing the electronic prescription to a server, and the server providing the electronic prescription to a pharmacy or other agent that fills the prescription and provides the medical items to the patient. A consent statement is provided by the patient for permission to the pharmacy to receive and fill the prescription and for permission to the server to receive and forward the prescription. Secure communications are provided for key communications to establish trust of identity of the parties and entities.