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MIGRAINE PREVENTION INITIAL/RENEWAL REQUEST FORMULAS DO NOT STAPLED NOT WRITE IN THIS Spaceman: PO Box 7000, Vancouver, BCV6B 4E1 | Drop it off: 4250 Canada Way, Burnaby, BC | Fax: 604 4192689 |Toll

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How to fill out migraine prevention initialrenewal request

01

Contact your healthcare provider or pharmacy to request a prescription for migraine prevention medication.

02

Fill out the initial/renewal request form provided by your healthcare provider or pharmacy.

03

Provide any necessary personal or medical information requested on the form, such as your name, address, insurance information, and medical history.

04

Submit the completed form to your healthcare provider or pharmacy for review and processing.

05

Follow up with your healthcare provider or pharmacy to ensure that your request has been approved and that you will receive your medication in a timely manner.

Who needs migraine prevention initialrenewal request?

01

Individuals who suffer from frequent migraines and have been prescribed migraine prevention medication by their healthcare provider.

02

Patients who are looking to renew their prescription for migraine prevention medication and require a refill.

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What is migraine prevention initialrenewal request?

Migraine prevention initialrenewal request is a form submitted to request the renewal of migraine prevention treatments.

Who is required to file migraine prevention initialrenewal request?

Healthcare providers or patients who are undergoing migraine prevention treatments are required to file the initialrenewal request.

How to fill out migraine prevention initialrenewal request?

The migraine prevention initialrenewal request should be filled out with patient information, treatment details, and any changes to the treatment plan.

What is the purpose of migraine prevention initialrenewal request?

The purpose of the migraine prevention initialrenewal request is to ensure continuity of care for patients undergoing migraine prevention treatments.

What information must be reported on migraine prevention initialrenewal request?

Information such as patient's name, treatment plan, healthcare provider information, any changes in condition, and side effects must be reported on the initialrenewal request.

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