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Forms & Documents Especially for Patient Consumers

Drug Information Center


Monday - Friday:
9:00 a.m. to 5:00 p.m.
The DIC observes the university's holiday schedule.
*Free consultations with a pharmacist by appointment
Call our 24-Hour Appointment Line: 252-335-2449


ECSU Drug Information Center
122 Pharmacy Complex
1704 Weeksville Road
Elizabeth City, NC 27909
Phone: 252-335-2449
Fax: 252-335-3158

Adobe Reader is free software that lets you view and print Adobe Portable Document Format (PDF) files. To access PDF files you need Adobe Reader installed. If you do not have Adobe Reader on your computer, you can download it here.

North Carolina GlaxoSmithKline Foundation

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.

Event Flyers
To review the Center’s schedule of events go to our Events & Seminars page.  You may download our flyers using Adobe Reader.

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.