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Woodland Hills Compounding Pharmacy COMPOUND PRESCRIPTION Phone: (855) 8763060 | Fax: (818) 8763010 Ways to Place an Order 1. Fax this prescription form to 8188763010 2. Email this prescription form
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Consult with a dentist before filling out the dental-anesformtic-rx-30g form.
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Provide accurate personal information including name, address, and contact details.
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Who needs dental-anesformtic-rx-30g?

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Individuals who have been prescribed dental-anesformtic-rx-30g by their dentist.
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Patients undergoing dental procedures requiring anesthesia.
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It is a prescription medication used in dental procedures to provide anesthesia.
Dentists and healthcare providers administering the medication are required to file the form.
The form should be filled out with the patient's information, dosage administered, and any relevant medical history.
The purpose is to document the administration of the medication for record-keeping and regulatory compliance.
Patient's name, dosage administered, date of administration, healthcare provider's information.
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