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This is a form for NEW Patients to fill out and get started with ACORx Pharmacy. Upon submission of this form, we will call the contact on the form and get them set up with ACORx Pharmacy as their new trusted pharmacy.

If you are a current patient with ACORx, do not use this form to submit questions. Instead, please reach out to us via phone call or text message at 412-857-2922 with any questions or concerns, thank you.

New Patient Form
pharma company template founder photo

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Olivia Michelle

Founder, CEO of evermed