Please upload a clear photo of your current prescription label or medication bottle. This is required to verify your medication information and ensure your records remain up to date. Please ensure the medication name, dosage, prescribing provider, and pharmacy label are clearly visible.

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Picture

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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Resident Acknowledgment

I understand that I am responsible for informing Thrive Transitional Housing of any changes to my prescribed medications while residing in the program. I certify that the information provided on this form is accurate to the best of my knowledge. I understand that all medications must be taken only as prescribed and must comply with Thrive Transitional Housing's medication policies.

I acknowledge and agree.

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