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Filling out the Seton Pharmacy refill request form can streamline the process of obtaining your medications. This guide will provide you with clear instructions to ensure that your refill request is submitted accurately and efficiently.

Follow the steps to complete your refill request form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter today's date in the designated section to record when the request is being made.
3. In the 'Name on Rx' field, input the name that appears on your prescription.
4. Provide your date of birth (DOB) in the corresponding field to verify your identity.
5. Ensure that your SCOP Patient Profile information is already on file. If not, complete this prior to submitting your refill request.
6. Fill in your phone number in the section labeled 'Phone Number to contact you if we have questions.' This will allow the pharmacy to reach out if they need additional information.
7. Indicate whether your prescription is already at SCOP by entering the prescription information. In the designated fields, provide the Rx number, medication name, and any comments for each prescription you wish to refill.
8. If your prescription is currently at a different pharmacy, fill in the necessary information to facilitate the transfer. This includes the pharmacy name, location, phone number, Rx number, medication name, and any comments.
9. Specify the delivery location for your filled prescriptions by writing down 'Deliver my filled prescriptions to the Seton Inpatient Pharmacy at' followed by your chosen location.
10. If you have any additional comments or instructions, include them in the provided comments section.
11. Once all sections are completed, you may proceed to save changes, download, print, or share the form as needed.

Complete your refill request form online today for efficient medication management.