This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on May 18, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is MDW Form 22?
A: MDW Form 22 is a form used for transferring prescriptions to a different pharmacy.
Q: What is the purpose of MDW Form 22?
A: The purpose of MDW Form 22 is to inform the current pharmacy that the prescription is being transferred to a new pharmacy.
Q: How do I use MDW Form 22?
A: To use MDW Form 22, you need to complete the form with your personal information, prescription details, and the name and address of the new pharmacy.
Q: Who can use MDW Form 22?
A: MDW Form 22 can be used by anyone who wants to transfer their prescription to a different pharmacy.
Form Details:
Download a fillable version of 59 MDW Form 22 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.