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Faxed prescriptions will only be accepted from a prescribing practitioner. Patients must bring an original prescription to the pharmacy, and cannot fax these referral forms to Sender. Ancillary Immunology Enrollment
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12272017 ancillary immunology form may be required by individuals who are seeking immunology assessments, such as those undergoing medical treatments, individuals with immune-related conditions, or those participating in clinical trials or research studies involving immunology.
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