Get Washington University In St. Louis Prescription Transfer Form 2022-2025

This guide provides a step-by-step approach to filling out the Washington University In St. Louis Prescription Transfer Form online. Users will find clear instructions to ensure a smooth and efficient process for transferring prescriptions from their home pharmacy.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name in the 'Student Name' field.
3. Fill in your date of birth in the designated space to accurately identify your record.
4. Enter your student number to help link the prescription to your student profile.
5. Provide your cell phone number to enable the pharmacy to contact you regarding your prescription.
6. List any drug allergies you may have in the specified section to ensure safe medication management.
7. Indicate the pharmacy name, city, and state from where you want your prescriptions transferred. Then include the pharmacy phone number.
8. For each medication you wish to transfer, input the prescription number (Rx #) in the required field.
9. Provide the drug name and strength for accurate identification of the medication.
10. Specify the number of refills remaining for each medication to facilitate a smooth transfer.
11. Indicate whether you need the medication within a week by answering the corresponding question.
12. Once all pertinent information is filled out, review it for accuracy and completeness.
13. Lastly, save any changes you have made, and download or print the completed form for your records, if necessary. You can also share the form or email it to the Quadrangle Pharmacy.

Complete your Washington University In St. Louis Prescription Transfer Form online today to ensure a timely transfer of your medications.