Post-Acute Care Institute
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Enrollment and updates

Home Services Pharmacy Enrollment and updates

Couldn’t find the form you needed on another page? Here are all of the forms you might need

New patient enrollment - Are you a new pharmacy patient? For your convenience, you can submit all your information here. When you're ready to have your first prescription filled, we will have your account set up and ready to go.

Access the New patient enrollment form here »

If you have a question about any of these forms, call toll-free:

1-855-307-6868

Patient information updates - Are you an existing patient with a change of address, insurance or allergy information? Click on the appropriate link below. If you have a change of FSA or credit card information, please call our toll-free customer service directly at 1-855-307-6868.

Access the Patient allergy update form here »

Access the Insurance Information update form here »

Access the Address and contact information update form here »

Access the Transfer prescriptions form here »

Still can’t find what you need? If you have any questions, call customer service toll-free at 1-855-307-6868.