Pharmacy Grievances Form
This grievance form is for concerns and feedback for The Pill Club pharmacy (MobiMeds, Inc. d/b/a The Pill Club). Thank you for bringing your concern to our attention as it will assist us in improving the quality of our pharmacy services!
Email address *
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Description of the problem/concern/complaint (include dates, times, and names, if possible) *
Your answer
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