Attention New York Prescribers: Please note that these forms do NOT replace an electronic prescription which MUST accompany any of these forms submitted.
E-Prescribe: Send us the prescription(s) that your patient needs using our NABP # 3324427 or by looking us up under Paramount Specialty/Island Care, or search by our zip code, 11747.NJ, CT and PA please use the Melville forms for service
Melville_Crohn's_013017 ENROLLMENT FORM
Melville_Dermatology_013017 ENROLLMENT FORM
Melville_GeneralEnrollment_013017 ENROLLMENT FORM
Melville_HepC_032817 ENROLLMENT FORM
Melville_Rheumatology_013017 ENROLLMENT FORM