Get For Faster Service

Filling out the For Faster Service form online can streamline your prescription orders and improve efficiency. This guide will walk you through each section of the form to ensure that you complete it accurately and promptly.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the document. This will allow you to obtain the form and open it for editing.
2. Begin by filling in the 'Card Holder Information' section. Provide the card holder's ID, date of birth in mm/dd/yyyy format, last name, and first name. If the patient differs from the card holder, include their last name, gender, first name, and date of birth. Also, enter the patient's phone number, permanent address, city, state, zip code, and email address.
3. Indicate your preferred method of contact by ticking either 'Email' or 'Phone'.
4. Move on to the 'Drug Allergies' section. Check any applicable allergies from the provided list or write down any others in the designated area.
5. In the 'Health Conditions' section, mark any applicable health conditions that the patient may have. You can also indicate any additional conditions not listed.
6. Next, input the details of the patient's new prescriptions. Fill in the drug name, physician/prescriber's name, and their phone number. Specify if the prescription should not be filled at this time and note the total number of prescriptions.
7. Follow the instructions regarding mailing the original signed prescriptions along with the completed form. For multiple dependents, remember to use separate forms.
8. Complete the 'Shipping Information' section. Choose your shipping preference and ensure the address provided is a physical location, not a PO box.
9. In the 'Payment Information' section, specify your payment method, whether by check, money order, or credit card. Fill in the relevant details, including the credit card number, expiration date, and signature if applicable.
10. Review all information for accuracy. Once confirmed, save your changes, download the completed form, print it if necessary, or share it as needed.

Complete your prescription orders efficiently by filling out documents online today.