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Rx Release Form

 

A Copy of Your Prescription Can be Sent by:

 

Email: [email protected]

 

Fax: You or Your Doctor's office may Fax a copy to 727-953-3949

 

Request: Or We can request a copy of your prescription from your Doctor's Office by filling out our

 

Prescription Release Form 

 

Once you've completed the form, we will contact your Doctor's Office, this option usually takes longer.

Thank you 

 

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