| Order Forms |
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| Form A) Patient Health Profile |
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This form is used to collect basic patient information and a brief health history and current health profile for our health professionals and pharmacists.
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| Form B) Patient Authorization and Consent Form |
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This form explains our customer agreement policies and procedures as well as the patient's rights when order medications.
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| Form C) Medication Order Form |
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This is the order form used by the patient when ordering prescription medications.
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| Form D) Refills Order Forms |
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This is the order form used by the patient when ordering refills from an existing prescription.
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