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
Good Samaritan Surgical Specialty
Gynecology-Oncology Clinic Infectious Disease/Bluegrass Care Clinic
KY Neuroscience Institute
KY Clinic South - Primary Care
Salvation Army Clinic
University Health Services Clinic
UK Athletics Clinic
Women's Health Clinic