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Print the appropriate form, complete it accurately and neatly, and fax it to EarthMeds' international pharmacy service.

New patient order form:

If this is the first time you've used EarthMeds' service, use this form.

Patient Refill Order Form

If you require refills of prescriptions at EarthMeds, use this form.

Refill With New Rx Order Form

If you're ordering refills as well as new prescriptions, use this form.

Prescription Fax Cover Sheet

Include this form whenever you fax any information to EarthMeds.

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