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Fill out the form below to authorize Qitek Labs and Customedico to setup your account for custom anti-infective therapy.

Qitek Labs and Customedico for Custom Anti-infective Compound Therapy

  • Account Information

  • Physician Authorization

    By signing below, I authorize the pharmacist to review my patient lab results and make prescription therapy recommendations to my office. I will review each recommendation and determine that any substitutions within each anti-infective group are appropriate for my patient and are medically necessary. I will remove any medication that I deem inappropriate for the treatment of my patient.
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