FORMS

Guides, Forms, & More

Customized Enrollment Forms

We have combined three downloads into one for you. With each specialty category, you will find the checklist, demographics and clinical page, and prescription form. This process will enable your medical staff to download a single form based upon the specialty. When you fill in any patient or provider information, it transfers over to the following pages automatically. You and your staff should be able to complete our forms effortlessly and faster than ever imagined. Learn more and Download our forms below. Contact our Account Managers if you need help automating your precision prescription even further!

Customized Enrollment Forms

We have combined three downloads into one for you. With each specialty category, you will find the checklist, demographics and clinical page, and prescription form. This process will enable your medical staff to download a single form based upon the specialty. When you fill in any patient or provider information, it transfers over to the following pages automatically. You and your staff should be able to complete our forms effortlessly and faster than ever imagined. Learn more and Download our forms below. Contact our Account Managers if you need help automating your precision prescription even further!

Clinic Guides

Each specialty is given a guide of the medications, their latest ICD-10 codes, our in-network health plans and insurance payers, and the drugs we have in stock. You will know if we can handle the medication over 90% of the time you send us a prescription.

Checklists

By utilizing our checklist, you can eliminate sending partial prescriptions to Dolphin which delay treatment. The checklist serves as a cover sheet and allows us to ensure your referral is processed on-time, every time.

RX Forms

Don't search for the right ICD-10s, we have those covered. Don't waste time going through A-F, G-whatever... All drugs are on one page. Simply download them, and take a few minutes to make copies for each provider in your clinic and save them to your desktop.

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