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Consultations
Provide Appropriate Education Regarding the Patient’s Prescriptions
Pharmacists can Double-Check the Patient’s Current Prescription with Regards to their Recorded Medical History
They can provide Accurate Monitoring of Patient’s Medication Intake
New Patient Intake Form
Patient Name
DOB
Gender
male
female
other
SSN#
Driver License
Preferred Language
Address
Home Phone
Cell
Email
How would you like to be notified when your prescription are done?
Email
Phone
Text
Auto refill ?
Yes
no
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