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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