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Medication Refill Forms

 

 

     Now for your convenience we have ADD and ADHD Medication Refill forms for you to fill out and to either FAX into our office or to bring in.  The form is a .pdf file and requires Adobe Acrobat Reader in order to print.  If you do not have Adobe Acrobat Reader you can click on the link below to download your copy of Adobe Acrobat.  You can download the form in two ways: (1.) You can click on the link and the demographic will load in your Internet Browser or (2.) You can Right Click on the link and save the file to your computer and then open it with your Adobe Reader.   Once you have downloaded the form and filled it out you may bring it by one of our locations or fax it to one of our 3 locations:

Cordova Fax          478-4289

Pace Fax                994-2740

Perdido Fax           492-899

ADD & ADHD Medication Refill Form

Adobe Acrobat Reader

 

 

 


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