• Soleil Pharmacy

    Soleil Pharmacy

  • MedSync Program Enrollment Form

    Thank you for your interest in our MedSync program, a synchronized prescription refill service.
  • The MedSync Program is designed to streamline and simplify medication management for patients by synchronizing all of a patient’s prescriptions to be filled once monthly and providing the ongoing service of refilling those prescriptions each month for your convenience.

    Advantages

    • Increased convenience—a single monthly trip to the pharmacy.
    • Reduced phone calls to the pharmacy – because we schedule your refills
    • Peace of mind from being able to get medications on time and in one order.
    • More personal contact with your pharmacist to ask questions and discuss medications.
    • Increased understanding of your medication, its purpose, potential side effects, and costs.
    • Your prescription records can be more easily updated to reflect changes to therapy made by doctors or upon hospital discharge.

     

    I understand the program advantages and the following conditions of participation to achieve the maximum benefits from the service at Voshell’s Pharmacy and hereby agree:

    • To accept a phone call each month from the pharmacy to discuss my prescription refills.
    • To have prescriptions included in the MedSync program processed and filled for a one month supply, unless otherwise specified.
    • To pick up medications on my assigned Appointment Date.
    • To notify Voshell’s pharmacy of any changes in your therapy or new medications.
    • To pay an extra co-pay one time for each medication if necessary in order to make all refills due on the same day.
    • To keep an open dialogue with my pharmacist regarding doctor’s appointments, hospital/urgent care visits, and changes in my health status.
    • To allow our pharmacy staff discuss your medication profile as part of our MedSync program with your caregiver(s). If yes, intial and provide the name(s) of caregiver(s) below.
  • I have read this document, understand it, and have had all questions answered satisfactorily. I also authorize you to inform my physician(s) that I am enrolled in this program.

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