Get Trimix Experts Rx - Olympiapharmacy.com

Filling out the TriMix EXPERTS RX form online is a straightforward process that can be completed with careful attention to detail. This guide will provide you with step-by-step instructions to help ensure your prescription is submitted accurately and swiftly.

Follow the steps to successfully complete your prescription form.

1. To begin, click the ‘Get Form’ button to retrieve the TriMix EXPERTS RX form and open it for editing.
2. Next, provide the patient information by filling in the name, date, address, city, state, zip code, phone number, email, and date of birth. Ensure all details are accurate to avoid any processing delays.
3. Select the appropriate TriMix formulation by checking the corresponding box. Choices include TriMix Standard, TriMix Plus, TriMix Super, Quad Mix, and Custom formulations. Specify details if you select 'Custom' by indicating the desired dosages in the designated fields.
4. Indicate the dispense quantity by checking the appropriate box for either 5ml or 10ml. If additional supplies such as syringes or alcohol swabs are needed, select those options as well.
5. For the prescribing physician, fill in their printed name, license number, phone number, and address. Ensure that you include the city, state, and zip code to facilitate communication.
6. The physician must also provide their signature on the form. Additionally, include the number of refills as necessary.
7. Review all entries to confirm accuracy. Once everything is correct, you may save the document, download it, print it, or share it as needed.

Complete your TriMix EXPERTS RX form online to ensure prompt processing of your prescription.