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For assistance, contact your pharmacy representative: ___ Phone: ___ (For providers only) PLEASE CONSIDER SENDING YOUR PRESCRIPTION ELECTRONICALLY. ALL OF OUR PHARMACY LOCATIONS ACCEPT ELECTRONIC
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Gather all necessary information such as personal details, medical history, and symptoms experienced.
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Consult with a healthcare provider specializing in neurology or multiple sclerosis.
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Who needs multiple sclerosis?

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Individuals who are experiencing symptoms such as muscle weakness, fatigue, and difficulty with coordination.
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People who have been diagnosed with other autoimmune diseases may also need to be evaluated for multiple sclerosis.
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Multiple sclerosis is a chronic autoimmune disease that affects the central nervous system.
Healthcare providers and facilities are required to file multiple sclerosis reports.
Multiple sclerosis reports can be filled out online or submitted through the designated reporting system.
The purpose of multiple sclerosis reporting is to track cases of the disease for public health monitoring and research.
Information such as patient demographics, symptoms, diagnosis, and treatment must be reported on multiple sclerosis reports.
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