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Clinic or unit-specific forms

The following forms can be used by clinics to order items from the pharmacy. The forms are pdf documents.

For questions, please call 859-257-3500 to speak with the Pharmacy Clinic Administrator. Fax all forms to 859-257-4001. Orders placed by 3 p.m. will be processed and ready for pickup the next business day. Delivery options are available.

Dentistry Clinic Order Form

ENT Clinic Order Form

Family Practice Clinic

General Surgery Clinic

GI Clinic

Good Samaritan Surgical Specialty

Gynecology-Oncology Clinic Infectious Disease/Bluegrass Care Clinic

Medicine Clinic

KY Neuroscience Institute

Opthalmology Clinic

Orthopaedics Clinic

Pediatric Clinics

Plastics Clinic

KY Clinic South - Primary Care

Rehab Clinic

Salvation Army Clinic

University Health Services Clinic

UK Athletics Clinic

Urology Clinic

Women's Health Clinic

Page last updated: 12/23/2014 10:20:07 AM