We provide healthcare solutions that are
Complete, Convenient, and Customized.

Welcome to Hazle Drugs! As a new patient, you’re embarking on a journey toward better health and wellness, and we’re here to guide you every step of the way. Our dedicated team of pharmacists and healthcare professionals is committed to providing you with personalized care tailored to your specific needs. Whether you’re seeking medication management, nutritional advice, or specialized consultations, we’re here to support you on your path to optimal health. At Hazle Drugs, we prioritize your well-being and look forward to partnering with you to achieve your health goals.

New Patient Form

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Name

First

Last

Phone

Date of Birth

New Pharmacy Location

Pharmacy Name

Pharmacy Number

Add the Medication Name and Rx Number for All That You'd Like to Transfer

Notes for Pharmacy (Optional)

Verify your insurance here or in the pharmacy when you get your medication

By submitting your mobile number, you agree to receive recurring account notifications and promotional messages from Hazle Drugs and Hazle Compounding. Text message & data rates may apply. Message frequency may vary. You can opt-out any time by replying STOP. Click HERE to see our Privacy Policy. Call 1-800-439-2026 or 1-800-213-0592 for assistance.