1.- Name of Patient,
2.- Patient's date of born,
3.- Name of Medication AND its Generic,
4.- Detail Strength (25mg, 10%, etc),
5.- Quantity in Units (30 tablets, 10 pills, 15ml, 100g, etc. ),
6.- Dosage (how the medication will be taken: 1 tablet per day),
7.- Physician's Signature,
8.- Physician's Seal with registration number,
9.- Physician's printed Name, Address and Phone Number.
You can bring the original prescription or only your Doctor can Fax it to the following fax number:
Locatel
Hallandale (954) 416-1203