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USC PHARMACIES
PrescriptionDeliveryApplication
PATIENT INFORMATION
Name:
Dateofbirth:Phone:Email:OnCampusaddressfordelivery:
PERSON MEDICATIONS CAN BE DELIVERED TO
OR LOCATION MEDICATION IS TO BE
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How to fill out usc pharmacydelivery applicationdocx
How to fill out usc pharmacydelivery applicationdocx
01
Open the USC Pharmacy Delivery Application.docx file on your computer.
02
Read through the instructions provided in the document to understand the requirements and process.
03
Fill out the personal details section, including your full name, contact information, and address.
04
Provide information about your medical history, including any existing medical conditions or allergies.
05
Indicate the medications you require for delivery by listing their names and dosages.
06
Specify any additional special instructions or requests related to your medication delivery.
07
Review the completed application to ensure all information is accurate and complete.
08
Save the document with your changes.
09
Submit the USC Pharmacy Delivery Application.docx file as per the given instructions, either online or through a specified email address.
10
Wait for a confirmation or further communication from USC Pharmacy regarding your application.
Who needs usc pharmacydelivery applicationdocx?
01
Individuals who are eligible for USC Pharmacy's delivery service and wish to have their prescription medications delivered to their preferred location.
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