Ask A Pharmacist- Information Request Form

Please allow 2-3 business days for us to respond to your request. If your question involves a situation in which information or care is needed quickly, contact your doctor or call 9-1-1 if an emergency.

Complete the form below to submit an Ask A Pharmacist request.
Note: an e-mail address is needed

Type your e-mail address: (required)
Date:
Gender (of person information is for):
Male
Age (of person information is for):
Type in your question:
Is there other information you think we should know? (for example, medications taken, allergies, health problems, other therapy tried, etc.)
How did you hear about JustAskBlue? (check all that apply)
Attended a talk or presentation
A friend or family member told me about the site
Poster
Brochure or leaflet
Personal e-mail message
UA Local 190 website or newsletter
From library
Pen, post-it notes, magnet, or other item with our logo
We are working with a number of different groups. Are you affiliated with any of the following? (please check)
UA local 190
Retired faculty
Michigan Pharmacists Association (MPA)
Not with any of the above
Please review the information to make sure it is correct before clicking submit. We'll get back to you!



 

 

West Virginia University School of Pharmacy and
University of Michigan College of Pharmacy

Funded by a grant from the Community Pharmacy Foundation