| Print the
appropriate form(s) and submit them along with your prescriptions
for Israeli drugs.
All forms are in PDF format, and to view and print them you require
Adobe Reader software. If you don't have Adobe Reader, Click
Here to download it.
Forms:
- Fax
Coversheet
Complete this coversheet
and include it whenever you send faxes to MagenDavidMeds.com.
- New
Order Form
Use this form if you are placing your
first order at MagenDavidMeds.com.
- Refill
Order Form
Use this form if you
are only ordering refills of prescriptions.
- Refill
with New Rx Order Form
Use this form if you are
ordering refills as well as new prescriptions.
- Customer
Agreement
Complete this form
whenever you need to update your Customer Agreement information.
If this is the first time you've ordered from MagenDavidMeds.com,
you'll find the Customer Agreement included with the New Order
Form.
- Customs
Declaration
Submit this form
with your order. It will be included in your package to help
your medications cross the US border efficiently.
- Customer
Legal & Privacy
Agreement
Please take the time to read this form
thoroughly, so that you fully understand your relationship with
MagenDavidMeds.com This form does not need to be submitted with
your order.
If you have a question, please Contact
Us. |
