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WAIT Prescription Referral Form Fax completed form to 18556358520. Phone 1855WAKIX4U (18559254948). Please complete all fields to avoid delays in processing. PATIENT INFORMATION First name:MI:Last

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4. Provide accurate and complete information in each section of the form.
5. Double-check the form for any errors or omissions before proceeding.
6. If required, attach any supporting documents or additional information that may be necessary.
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8. If the form requires a signature, sign it using your legal signature.
9. If you are faxing a physical copy, feed the form into a fax machine and dial the recipient's fax number.
10. If you are faxing a digital copy, use an online fax service or a fax software to send the form to the recipient's fax number.
11. Wait for confirmation or a receipt to ensure that the fax has been successfully sent.
12. Keep a copy of the filled-out form for your records.
13. If necessary, follow up with the recipient to ensure they have received the fax completed form and to address any further instructions or requirements.

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