Fairway Lackner Pharmacy Important Forms

Locate important forms for Fairway Lackner Pharmacy here.

 


COVID-19 Vaccine Screening and Consent Form
Please note: If you have registered on the waiting list, this form is not required.

 


Flu Vaccination Consent Form
Fill out this form ahead of time to speed up your flu shot appointment.

 


Prescription Refill Form
Easily request a refill for your existing prescriptions by completing and submitting this form.

Prescription Refill


RX Delivery Form
Request home delivery of your prescriptions with this convenient form.

Prescription Delivery


Prescription Transfer Form
Use this form to transfer your prescriptions from another pharmacy to Fairway Lackner Pharmacy.

Prescription Transfer