Due to HIPPA regulation and to establish initial data in our system, we need to have a new member’s signature in our file. Please fill out the pharmacy member profile form below and mail to us with your prescriptions.
Click to Get form:
Due to HIPPA regulation and to establish initial data in our system, we need to have a new member’s signature in our file. Please fill out the pharmacy member profile form below and mail to us with your prescriptions.
Click to Get form: