Wausau Family Pharmacy – 24/7 Prescription Pickup Interest Form

COMING SOON! 24/7 Prescription Pickup at Wausau Family Pharmacy 💗

We're excited to introduce Pharmaself24, a secure prescription pickup kiosk that will allow eligible patients to pick up their prescriptions 24 hours a day, 7 days a week — even when our pharmacy is closed.

If you're interested in using this new service, please complete this short form below.

This is an interest/registration form only. Our pharmacy team will contact you with more information and next steps once the official Pharmaself24 registration process is available.

Please do not use this form for urgent prescription requests or medication questions.

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FULL NAME *
DATE OF BIRTH *
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PHONE NUMBER AND/OR EMAIL ADDRESS *
ARE YOU CURRENTLY A PATIENT AT WAUSAU FAMILY PHARMACY? *
HOW DID YOU HEAR ABOUT PHARMASELF24?
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ADDITIONAL COMMENTS / QUESTIONS
  Is there anything you'd like us to know or any questions you have about our 24/7 prescription pickup?  
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