Prescription
& Patient Forms
Need to refill a prescription, access your prescription records, or complete patient forms? You’re in the right place.
Steps for Establishing an Account or Partnership
Fill out our Account Inquiry Form
This form collects clinic information so we can set up your account and understand how to serve you best.
Schedule a virtual call with us
We’re happy to set up a virtual call to review our product offerings or answer questions about working with our pharmacy. This is completely optional and designed to support you and your team.
Send a prescription to us
Prescriptions can be sent electronically through your EMR system or our Provider Portal, faxed to 813-961-9800, or called in verbally to 813-961-8798. Feel free to send a test prescription to ensure you are ready to go.
We welcome new product requests and specialize in custom compounding, partnering with providers to bring new formulations from concep to reality.
Turning Problems Into
Solutions
Email: pharmacists@mixwithintegrity.com
