Prescription Order Forms

The following is a list of prescription order forms that you can use to make prescribing to Lily's Pharmacy easier.  All forms are to be completed by the provider and faxed back to Lily's Pharmacy at 678-619-1018.  If you need help or have questions when completing a request, you can always call the pharmacy at 678-964-5459.  Thank you and God Bless!

Veterinary Rx Request Form

Hormone Replacement Therapy (HRT) Compound Request Form

Low-Dose Naltrexone (LDN) Compound Request Form

Nasal Irrigation Compound Request Form