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!

  1. Download and save the referral form(s) that you need from the following links.
  2. Next, either type or clearly print the requested information. Please include as much detail as you can.
  3. Fax it to Medwins Pharmacy at (989) 755-7993
  4. 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