Referral Forms
Looking for a consistent specialty pharmacy experience with a quick response time and personalized care? You’ve found it. Medwins Pharmacy makes referring your specialty patients easier than ever. Just follow these simple steps and start referring your patients today!
- Download and save the referral form(s) that you need from the following links.
- Next, either type or clearly print the requested information. Please include as much detail as you can.
- Fax it to Medwins Pharmacy at (989) 755-7993
- Receive a fax back confirmation from us in four hours or less!
*Please note that Medwins Pharmacy can only accept faxed prescriptions from prescribing practices. If you are a patient and have questions about the prescription process, feel free to call our specialty pharmacy care team at: 989-755-7998