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Dear Patients A written authorization from the patient is required in order for the Millenium Pharmacy Center to release reply on the required counseling information. The Information form can be downloaded (see below), mailed, or faxed. You will need Adobe Acrobat Reader 4.0 or higher to view or print
the .pdf file below. To get the latest update, go to: Please click here to Download the PDF File, which you will Fill it in and fax it to us (Fax: +961-4410444) A patient may also send a letter to us with his/her full name, address, social security number, date of birth, phone number, signature, and the specific information requested. If mental health information is requested, additional information may be required. The information will be mailed to the address on the release form or letter of the request. Requests should be mailed to: Millenium Pharmacy
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