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Get Vaccination Referral Form - Merckvaccines.com
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How to fill out the Vaccination Referral Form - MerckVaccines.com online
Filling out the Vaccination Referral Form online is a streamlined process that ensures accurate communication between patients, healthcare providers, and pharmacies. This guide will walk you through each section of the form to help you complete it effectively.
Follow the steps to complete the Vaccination Referral Form.
- Press the ‘Get Form’ button to obtain the Vaccination Referral Form and open it for your use.
- Begin by entering the patient’s name at the top of the form. Ensure the spelling is correct to avoid any confusion.
- In the pharmacy section, input the name of the local pharmacy or the recommended pharmacy where the patient will receive their vaccine.
- List the vaccine names recommended for the patient. The pharmacist will later complete the manufacturer name, lot number, and administered date.
- In the healthcare provider (HCP) section, include the name of the prescriber, their fax number, address, and phone number.
- After reviewing the completed form for accuracy, save your changes, and choose to download, print, or share the form as necessary.
Begin filling out your Vaccination Referral Form online today to ensure timely vaccination for the patient.
To offer suggestions about Merck's vaccine business, 800.235. 1430.
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