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Provider Submission Form

This page is exclusively for healthcare providers looking to submit prescriptions to Cottonwood Compounding Pharmacy. When you click the link below, you’ll be redirected to our secure submission platform, PlatoForms. Please ensure all required details are included in your submission. Our pharmacy team may reach out to you directly if any follow-up information is needed to process your request accurately and efficiently.

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© 2025 by Medical Clinic. Powered and secured by Wix

7076 S Highland Dr - Cottonwood Heights, 84121

Tel: 385-279-4268

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