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HOURS OF OPERATION:
Monday to Thursday
8 AM to 5 PM (CST)
Friday
8 AM to 4 PM (CST)
New Customer Package
Download New Customer Package
Fax Refill Form
Download Refill Form
Prescription Transfer Form
Download Rx Transfer Form
Alternatively, for your convenience, we provide the following forms which can be filled in online and then printed or emailed (once signed). To use these fillable forms you must open them with Adobe Reader. You can download Adobe Reader for free at http://get.adobe.com/reader/.
New Customer Package
Download New Customer Package (Fillable Form)
Fax Refill Form
Download Refill Form (Fillable Form)
Prescription Transfer Form
Download Rx Transfer Form (Fillable Form)