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Doctors, please
download and print the Prescription Referral Form
below. Fill out and sign this form and send it to us either
by fax or by sending it with your patient.
To open this
form you can left mouse click on the link above or you can
download the form by right mouse clicking the link above and
choosing "Save Target As..." to save a copy to your
computer.
To open this form you will need the Free Adobe Acrobat
Reader which you can get by clicking the button below:
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