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How to Order by Fax or Mail
1. Fill out a patient questionnaire
Click here to download a patient questionnaire form.
If you are transfering a prescription to us from another pharmacy, please also fill out a prescription transfer form.
You will need Adobe Reader to view and print these forms. If you do not have Adobe Reader you may download a copy here.
2. Send your form(s), prescription(s), and payment
Please fax or mail your completed form(s), prescription(s), and payment. If you wish to fax or email us your prescription(s), please also mail us your original prescription(s).
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