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Italian Medical Group, Italian Road, Littlehampton, West Sussex BN17 5JR Tel: 01903 735200 Fax: 01903735222 Web: www.fitzalanmedicalgroup.com PATIENT CHANGE OF ADDRESS FORM IMPORTANT NOTICE: We may
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The prescription request form image is a digital or scanned image of a prescription request form.
Pharmacists or healthcare providers who receive prescription requests are required to file the prescription request form image.
To fill out the prescription request form image, pharmacists or healthcare providers need to accurately capture and document all the information present on the original physical prescription request form.
The purpose of the prescription request form image is to serve as a digital record of the prescription request, which can be used for verification, auditing, and reference purposes.
The prescription request form image should capture all the relevant information present on the physical prescription request form, including patient details, prescribed medication, dosage, and any special instructions.
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