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What details do we need?
Pharmacies: The name and address of the pharmacy (or pharmacies) where your GLP-1 prescription was filled, along with the dates of your visits.
Treatment providers: The name, address, and dates of any doctors or specialists involved in your treatment, as well as the type of care you received.
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What details do we need?
Pharmacies: The name and address of the pharmacy (or pharmacies) where your Suboxone prescription was filled, along with the dates of your visits.
Treatment providers: The name, address, and dates of any doctors or specialists involved in your treatment, as well as the type of care you received.
Dental services: The name, address, and dates of appointments with the dentist you visited for routine dental care before starting Suboxone.
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Please provide details for all pharmacies that you have used
Your Pharmacy
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Please provide details of all doctors who have treated you
Your Doctor
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