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Seating/Mobility Evaluation To be completed by Physiatrist or Physical/Occupational Therapist In Association With Mobility Device Specialist
First we’ll need to know a little more about you. The following sections help us determine if you’re eligible for basinger's pharmacy.
Your shipping address
We ship your medication right to your door. Where would you like to receive your first shipment?
As your new pharmacy, we need to know more about you and your health. We only use this information to provide you with the best service possible, and never share it with anyone else.