Delivery information

I, by my digital signature below, understand that participation in the mail order service is voluntary and dependent upon providing a valid Alabama state address. I understand that Tristate Community Pharmacy is not responsible for lost mailed prescriptions (both legend and all scheduled controlled substances) for failure to provide a reliable address. In addition, failure to provide a reliable address will disqualify me from the mail order service, and subsequently I will need to arrange for medication pick-up on my own. I also understand it is my own responsibility to request medication refills in a timely manner.

I understand that is my responsibility to update my address and phone number with Tristate Community Pharmacy if my preferred mailing address change. By signing this consent form, I am indicating that I fully understand the attestation and that I agree to have prescriptions mailed to the address specified above.