Get Emory Medco Online Form

Filling out the Emory Medco Online Form is a straightforward process that can efficiently facilitate prescription management. This guide provides detailed instructions to help users complete the form with confidence.

Follow the steps to effectively complete your Emory Medco Online Form.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. In the first section, enter the member number and the member's name, including both first and last names.
3. Complete the shipping address fields, ensuring to provide the city, state, and zip code accurately.
4. Fill out the patient information section, including the patient's date of birth.
5. Write or attach the prescription details clearly, avoiding the use of prescription watermark security forms that may obscure legibility when faxed.
6. In the prescriber information section, include the prescriber’s name, address, and fax number. Additionally, specify the number of refills.
7. Ensure to check all applicable allergies and medical conditions presented on the form.
8. Sign the form in the designated areas for the prescriber’s signature, ensuring not to use signature stamps.
9. Review the completed form for accuracy, then fax it back to 1 800-837-0959.
10. At this point, users can save changes or print the completed form for their records.

Complete your Emory Medco Online Form online today to streamline your prescription process!