1. You can submit the forms ELECTRONICALLY.
   Click on the download link below to submit the forms electronically.
   Submit forms Electronically
   *(Please provide your email address while submitting the form)
   (Please fax/e-mail/mail your prescription after completing the form)  
   
   
2. You can PRINT the forms.
   Click on the download link below, download the Required Form and print. After you've printed and completed the forms, you can Fax (recommended) or mail them to us.
   
   View as PDF
    
3. We can FAX you the forms
   Please fill out our online fax request form to receive forms within 2 working hours.
   
   
4. We can MAIL you the forms
   Please fill out our online mail request form to have forms mailed.  We will mail the forms within 24 hours.

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