UBACARE
has built prescriber requisition forms that are easy for you to access and download using your tablet, laptop and even mobile device to give you flexibility while you are on the move.
Save time using our add-on prescriber order forms which are organized by medical therapy and/or drug name in the list below
We are committed to providing extraordinary care for your patients.
Easy Form Filling
Access our order forms and submit them online and/or fax in real-time. We tokenize and encrypt all communications to protect personal data to help us comply with data protection laws such as HIPAA, CCPA and PIPEDA.
If your therapy is not listed below, use this form or consider electronically prescribing the medication to us. Prescriptions must be sent from licensed prescribers and in accordance with your Province/State prescribing laws.
