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Mail Service Registration - Mayo Clinic

mail Service RegistrationPharmacy 2016 mayo Foundation for Medical Education and Research MC1234-63rev0416 Instructions: Fill out this form completely. Print legibly using black ink only. Use a separate sheet for each form to: mayo Clinic Pharmacy mail Service21 Second Street SW, Suite 2-20, Rochester, MN 55902Or fax form to: 507-284-5824If you have questions about completing this form, call the mayo Clinic Pharmacy mail Service at 507-284-4041 or toll-free at : Important information about mail Service terms and conditions Allow 7-10 business days for delivery. Incompleteinformation may cause delivery to be delayed beyond ten days. No shipping or handling charges apply to orders shipped via mail . Overnight shipping is available; charges will apply. mail Service is appropriate for long-term maintenanceprescription drugs. Prescriptions for medications that areneeded immediately and/or for a one-time treatment (such as an antibiotic for an infection) should be filled at your local pharmacy.

Mail Service Registration Pharmacy ©2016 Mayo Foundation for Medical Education and Research MC1234-63rev0416 Instructions: Fill out this form completely. Print legibly using black ink only. Use a separate sheet

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