Transcription of New Client Intake Package - readymedspharmacy.com
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(P) 425-251-6335 (P) 877-425-MEDS (F) 425-251-6337 (New Client Fax) 425-697-9227 New Client Intake Package Welcome and thank you for choosing Ready Meds Pharmacy for your pharmacy needs! To provide the highest level of care and to expedite the Intake process the following information is requested by your Pharmacist and/or required by state regulations: 1. New Client Form (page 1) Completed with list of drug allergies, primary care physician, previous pharmacy, and Power of Attorney (POA) contact information. 2. Patient s Insurance Information This may be a copy of patient s current pharmacy insurance card, driver s license, and/or social security card. 3. Current Medication List If patient is coming from a hospital or rehab center, provide a discharge summary. If patient is moving from another AFH or their private home to your AFH, provide a current medication list from a doctor s office or a copy of the previous AFH s MAR.
(P) 425-251-6335 · (P) 877-425-MEDS · (F) 425-251-6337 (New Client Fax) 425-697-9227 www.ReadyMedsPharmacy.com New Client Intake Package Welcome and thank you for choosing Ready Meds Pharmacy for your pharmacy needs!
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