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Get Protocol For Medication Refills Form

E an acknowledgement that they have read the protocol and agree with its provisions. All clinic personnel have reviewed the protocol set forth below will implement it. Unless the physician personally consents to a request for a deviation for the protocol, it will be followed explicitly. 1. All medication requests will be refilled 48 hours after the request has been received from their pharmacy. As a general rule, the original prescription should include a one-month supply of the medication. 2.

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