KidsMedPacks
Kids
Easily-identifiable pre-packaged medications
for your children when they are away from home
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  kidsMedPacks

Pharmacy Form

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  kidsMedPacks

Letter to Physician

     
 
Instructions for Parents
 
 

 
 
Step 1
 

Complete online registration

 

 Register Online
Step 2
 

Download and Print

PHARMACY FORM

LETTER TO PHYSICIAN

 Letter to Parents
Step 3
 

Attach completed Pharmacy Form, original prescriptions and a copy (front & back) of your insurance card.
Step 3
Step 4
 

Mail to kidsMEDPACKS : 


 kidsMEDPACKS
PO Box 568
Scarsdale, NY 10583