To assist with your collection of the information we need to optimize your Claim, these forms will help you access your information from major pharmacies.
When requesting your records, you do not need to tell the pharmacy the reason you want them. It's your business and all they need to know is that you want a copy for your own records.
Wal-Mart - Patient Access Request
Rite Aid - Patient Access Request
Walgreens - Patient Access Request
Costco - Patient Access Request
Safeway - Patient Access Request
Meijer - Patient Access Request