How to use or fill out TriMix EXPERTS RX - olympiapharmacy with our platform
- Click ‘Get Form’ to open the TriMix EXPERTS RX form in the editor.
- Begin by filling out the Patient Information section. Enter your name, date, address, city, state, zip code, phone number, email, and date of birth in the designated fields.
- Select your shipping preference by checking either 'Patient Address' or 'Office Address'. Remember that TriMix must be kept cool and will be shipped to arrive next business day.
- Choose your desired TriMix formulation from the options provided. You can select from Standard, Plus, Super, Quad Mix, or Custom formulations based on your needs.
- Indicate the dispense quantity by selecting either 5ml or 10ml. If you require additional items like syringes or alcohol swabs, check those options as well.
- Complete the Signature section by entering the physician's name, license number, phone number, address, and signature. Don’t forget to specify the number of refills required.
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