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forms.html
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forms.html
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---
title: "Forms & Helpful Papers"
---
<div id="feature" class="section">
<h1 class="logo-font text-center"><strong>Forms & Helpful Papers</strong></h1>
</div>
<div class="container">
<p class="lead text-center">Please find our downloadable forms and helpful papers below for your convienience.</p>
<p class="lead text-center">Feel free to fax us your filled out forms at our fax number: <strong>(408) 847-7878</strong></p>
<div class="row">
<a href="{{'assets/files/drug_project_brochure.pdf' | relative_url }}" class="col-sm-4 form">
<div class="media card">
<div class="text-center media-left">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>Medication Disposal Card</h3>
<p>Print this card to keep as a reminder of how to dispose of un-needed or expired medication.</p>
</div>
</div>
</a>
<a href="{{'assets/files/drug_project_brochure_spanish.pdf' | relative_url }}" class="col-sm-4 form">
<div class="media card">
<div class="media-left text-center">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>Tarjeta de Eliminación de Medicamentos</h3>
<p>Imprima esta tarjeta para mantenerla como un recordatorio de cómo deshacerse de los medicamentos no necesarios o vencidos.</p>
</div>
</div>
</a>
<a href="{{ 'assets/files/drug_return_credit_sheet.pdf' | relative_url }}" class="col-sm-4 form">
<div class="media card">
<div class="media-left text-center">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>Drug Return Credit Sheet</h3>
<p>Download and fill out this form to return medications.</p>
</div>
</div>
</a>
</div>
<div class="seperator"></div>
<div class="row">
<a href="{{'assets/files/hipaa_client_form.pdf' | relative_url }}" class="col-sm-4 form">
<div class="media card">
<div class="media-left text-center">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>HIPAA Client Form</h3>
<p>Under HIPAA regulations, Patients have the right to request that this pharmacy restricts how protected health information about you is used or disclosed for treatment, payment or health care operations. Download and print this form to give consent.</p>
</div>
</div>
</a>
<a href="{{'assets/files/identification_and_guarantor_information_sheet.pdf' | relative_url}}" class="col-sm-4 form">
<div class="media card">
<div class="media-left text-center">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>Identification & Guarantor Information Sheet</h3>
<p>Download, fill out and return this form so we have your information for our records.</p>
</div>
</div>
</a>
<a href="{{'assets/files/on_call_llc.pdf' | relative_url}}" class="col-sm-4 form">
<div class="media card">
<div class="media-left text-center">
<h1><i class="fa fa-newspaper-o" aria-hidden="true"></i></h1>
</div>
<div class="media-body">
<h3>How To Use On Call LLC</h3>
<p>Download and print this helpful paper to learn how to use the 24/7 Emergency Service with On Call, LLC.</p>
</div>
</div>
</a>
</div>
</div>