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Referral Forms

Refer a Patient to CarePartners Pharmacy

1.

E-Prescribe
Please e-prescribe to CarePartners Pharmacy (326 Peterson Rd. Libertyville, IL 60048)

2.

Fax Prescription
Please fax hard copy prescription to CarePartners Pharmacy at:
Toll Free Fax Line: (866) 832-7180

3.

Call-In A Prescription
You can always call-in prescriptions for your patients to CarePartners Pharmacy at:
Toll Free Phone Number: 866-832-7171

Referral Forms

Select and fill out a referral form, then upload it using the form below.

PDF Upload

Securely upload a patient prescription

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Accepted file types: pdf, Max. file size: 2 GB.