Medication Request Form (To Be Completed by Parent)
To view this form, you will need Acrobat Reader
Letter to Physician
Complete online registration
Download and Print
MEDICATION REQUEST FORM (To Be Completed by Parent) LETTER TO PHYSICIAN
Attach completed Medication Request Form (To Be Completed by Parent), original prescriptions and a copy (front & back) of your insurance card.
Mail to kidsMEDPACKS :
kidsMEDPACKS PO Box 568 Scarsdale, NY 10583
