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* 1. Your Name

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* 2. Title

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* 3. City of Practice

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* 4. Have you ever had difficulty obtaining compounded medication for your patients in the state they reside? If yes, please feel free to add detail. For example, “there is no specialty compounding pharmacy in my state that can make the specialized medication my patients need.” “ Our office has an established relationship with the pharmacists at Lee Silsby for their compounding expertise.” “I service patients across the US, it would be difficult and limiting to have to refer patients to compounding pharmacies, based on where they reside instead of to pharmacies that have established expertise.”

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* 5. What health benefits or improvements have your patients experienced by using Lee Silsby’s compounded medication? We would love to hear specific examples of how our compounded medication improved functioning or added to the quality of your patient’s lives. Our pharmacy is always moved by these testimonies and humbled to support your patient’s critical care.

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* 6. Are you willing to share a photo to personalize your prescriber testimony?

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