Schaffner Pharmacy Patient Referral Form

By referring the patient to our clinical services, you are agreeing to allow the pharmacist to adjust doses, prescribe new medications, and order labs to manage the condition/s chosen (excluding comprehensive medication review where no medication management is performed, pharmacist will send recommendations to prescriber).

The pharmacy team will reach out to your office for the most recent office visit note and any pertinent labs.

After each appointment with the pharmacist an after-visit summary will be sent to the referring providers office.

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