Olympia pharmacy order form 2026

1. Click ‘Get Form’ to open the olympia pharmacy order form in the editor.
2. Begin by filling out the 'Patient Information' section. Enter your name, date, shipping address, city, state, zip code, phone number, email, and date of birth.
3. Select your preferred shipping method by checking either 'UPS Ground' or 'Next Business Day'.
4. For HCG Vial / Injectable options, choose the vial size you need (10,000 iu or 2,000 iu) and indicate if you want it reconstituted. Specify the amount of bacteriostatic water if applicable.
5. Fill in the quantity for HCG Sublingual Tablets and any additional items like B12 injections or custom compounded formulas as needed.
6. Ensure that a physician signature is provided along with their printed name and contact information.
7. Finally, review all entries for accuracy before submitting your completed form.

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