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SUPPLY TO: (Indicate full address of Health Unit or Dept)Tel:(Fax: (604) 7072583)COMPUTER CODES(Pharmacy Use Only)MAIL COMPLETED FORM TO: BC CDC Pharmacy BC Center for Disease Control 655 12th Avenue

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How to fill out sti drug order request

01

Obtain the STI drug order request form from the appropriate authority or organization.

02

Fill out the patient's information including name, date of birth, and contact information.

03

Specify the type and dosage of STI drugs being requested.

04

Provide any relevant medical history or information that may be helpful for the order.

05

Sign and date the form before submitting it for processing.

Who needs sti drug order request?

01

Healthcare professionals who are treating patients with sexually transmitted infections.

02

Medical facilities that dispense STI medications to patients in need.

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What is sti drug order request?

STI drug order request is a form used to request medications for the treatment of sexually transmitted infections.

Who is required to file sti drug order request?

Healthcare providers or organizations responsible for treating patients with sexually transmitted infections are required to file STI drug order requests.

How to fill out sti drug order request?

To fill out an STI drug order request, healthcare providers must provide detailed information about the patient, the specific medications requested, and the rationale for prescribing them.

What is the purpose of sti drug order request?

The purpose of STI drug order request is to ensure that patients receive appropriate medications for the treatment of sexually transmitted infections in a timely manner.

What information must be reported on sti drug order request?

The STI drug order request must include information such as patient demographics, diagnosis, medications requested, dosage, and duration of treatment.

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