LOCAL: (270) 247-3345 TOLL FREE: (877) 247-9992 PROVIDERS PATIENTS ABOUT US CONTACT US HOMESITE MAP Site Map Contact Us With Us, You’re Family Online Privacy Policy Site Info Site Map Providers Provider Resources Patients Patient Resources Refill a Prescription About Us Our Team Our History Duncan Clinic Pharmacy HIPAA Immunizations Local Delivery Prescription Services ©2021. Duncan Prescription Center. All Rights Reserved. HIPPA Privacy Policy Site Info Site Map

LOCAL: (270) 247-3345 TOLL FREE: (877) 247-9992 PROVIDERS PATIENTS ABOUT US CONTACT US HOMEPROVIDERSPROVIDER RESOURCES Provider Resources Below you’ll find our database of current healthcare forms for your convenience. Please note that you must have Adobe Acrobat reader to view the forms. Don’t have Acrobat? You can get it here. Questions? We can help. Baxdela Referral Form Blank Referral Form Blank Referral Form **Fillable** Botox Referral Form Crohn’s Referral Form Dermatology Form for Products A-H Dermatology Form for Products I-Z Hepatitis C Referral Form HIV Referral Form IUD Referral Form Makena Referral Form MS Referral Form Osteoporosis Referral Form Rheumatology Form for Products A-K Rheumatology Form for Products L-Z Synagis Referral Form Synagis Referral Form **Fillable** Ubrelvy Referral Form Vivitrol Referral Form Womens’ Health Referral Form (includes Orilissa) Family-owned and locally operated, we’re committed to serving patients just like you. CONTACT US Duncan Prescription Center & Specialty Pharmacy 315 West Broadway Mayfield, KY 42066 Duncan Prescription Center: (270) 247-3345 Duncan Specialty Pharmacy: (270) 247-3725 Toll-Free: (877) 247-9992 Duncan Prescription Center: (270) 247-1344 Duncan Specialty Pharmacy: (270) 247-6033 M-F 7:30am - 5:15pm Sat: 7:30am - 2:00pm Sun: Closed Duncan Clinic Pharmacy 1111 Medical Center Cir Mayfield, KY 42066 1st Floor Jackson Purchase Medical Pavilion (270) 247-7000 (270) 247-6033 (270) 251-3571 M-F: 8:00am - 5:30pm Sat: Closed Sun: Closed ©2021. Duncan Prescription Center. All Rights Reserved. HIPPA Privacy Policy Site Info Site Map