Paragard Iud Order Form - Please give page 2 to the patient. To establish an account, please complete the online paragarddirect business application located on the forms page and submit to us with a copy of your state license. Paragard direct™ letter of financial responsibility adobe sign | print. Web tell your hcp you have paragard before having an mri or a medical procedure using heat therapy. Paragard direct™ letter of affiliation adobe sign | print. At first, periods may become heavier and longer with spotting in between. Additional common side effects include anemia, pain during sex, backache, and vaginal discharge. Web if you currently have a paragarddirect account and would like to begin purchasing products online, please fill out the form below and click submit when complete. You can order online, by phone, by email or by fax, and enjoy discount pricing until 4/30/2024. Web complete the form and fax to chosen specialty pharmacy.
Additional common side effects include anemia, pain during sex, backache, and vaginal discharge. Paragard does not protect against hiv or stds. Web complete the form and fax to chosen specialty pharmacy. Web learn how to order paragard iud for your patients online, by phone or by fax through paragard direct or specialty pharmacy programs. Paragard direct™ business application adobe sign | print. New web accounts will be created by the close of business on the next business day. At first, periods may become heavier and longer with spotting in between. You can order online, by phone, by email or by fax, and enjoy discount pricing until 4/30/2024. Paragard direct™ letter of affiliation adobe sign | print. Paragard direct™ order form adobe sign | print. Paragard direct™ letter of financial responsibility adobe sign | print. If i have a financial responsibility for obtaining paragard, Web tell your hcp you have paragard before having an mri or a medical procedure using heat therapy. Web if you currently have a paragarddirect account and would like to begin purchasing products online, please fill out the form below and click submit when complete. To establish an account, please complete the online paragarddirect business application located on the forms page and submit to us with a copy of your state license. Find out the indications, contraindications, warnings and precautions for paragard iud. I understand that my signature will be used as an approval allowing the specialty pharmacy to dispense paragard. Please give page 2 to the patient. Web to place an order, you must have an account established with paragarddirect.