Forms & Documents Especially for Patient Consumers

 

Our Online Request Forms, Printable Request Forms and event flyers are in Portable Document Format (PDF).  Adobe Reader® is free software that lets you view and print PDF files on all major computer platforms.  If you have trouble accessing our documents click here to download the latest version of Adobe Reader.

To save one of our files to your computer, right-click (PC) or control-click (Mac) on the link below and select the place on your computer where you would like to save the file.

Printable Request Form for Patients
You may complete this document and fax it to 252-331-2491 or 888-277-8653.

Seminar Presentations & Materials
To register for a seminar please call our 24-hour appointment line at 252-335-8745 or you may email us at druginfocenter@ecsu.edu.  Someone will contact you to confirm your registration.