Camp Medication Registration


Please fill out the Camp Medication Registration as completely as you can.  When you finished filling it out, please hit "Submit." Shortly after hitting submit, you will receive an email telling you we received it.  If you do not receive the email, please contact us to ensure we received it.  Once we receive the registration, we will review it and contact you with any questions.

Please feel free to reach out to us to help you with the registration and/or for any questions.

Contact Information:

Ph: (646) 370-5978

Fax: (646) 398-7680

Email: pharmacist@79thrx.com