Get Ready Meds Pharmacy New Client Intake Form 2018

Filling out the Ready Meds Pharmacy New Client Intake Form online is a straightforward process designed to ensure that you provide all necessary information for your pharmacy needs. This guide will help you navigate each section of the form, allowing you to submit your information efficiently.

Follow the steps to complete the online intake form.

1. Click the ‘Get Form’ button to access the New Client Intake Form and open it in your preferred document editor.
2. Begin with the New Client Form. Fill in your drug allergies, the name of your primary care physician, your previous pharmacy's details, and the contact information for your Power of Attorney if applicable.
3. Provide your insurance information by uploading a copy of your current pharmacy insurance card, along with your driver's license and/or social security card.
4. Compile a current list of medications you are taking. This information is essential for maintaining your health and safety.
5. If you are transitioning from a hospital or rehabilitation center, include a discharge summary. If you are moving from another assisted living facility, provide a current medication list from your physician's office or a copy of the previous facility's Medication Administration Record.
6. Complete the Release of Information / Authorization of Benefits Form on page two. This is to allow the pharmacy to communicate with your healthcare team.
7. Fill out the Financial Agreement Form on page three. This is important for defining billing practices and ensuring clarity on financial responsibilities.
8. If you wish to set up auto payments or have self-POA, complete the Credit Card Authorization Form on page four. Ensure that all required fields are filled accurately.
9. After carefully reviewing all the information you have provided, save your changes. You can also download, print, or share the completed form as needed.

Complete your documents online to ensure a smooth onboarding process with Ready Meds Pharmacy.