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PATIENT ALLERGY / INTERACTION FORM. * This form as well as the release form need to be submitted check box after medication if you have not previously taken this medication)
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Canadian Medication. Order FormToll-Free 1-888-671-3362. Toll Free Fax 1-866-773-2696info@canampharmacy.com115 Main Street South, P.O. Box 84. Minnedosa, Manitoba, Canada R0J 1E0
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