Date:    ___/___/___

Name:  _________________________________

Address:   _____________________________________________________

Phone No.  __________________________


Dear Pharmacist:

My doctor has prescribed the BTA stat Test as part of my healthcare management.

I am requesting that you stock the test at your pharmacy.

If you are unfamiliar with the test, more information is available at the web site You can also contact customer service at Polymedco, inc., (800-431-2123) for information or to order the test.

Please call me to discuss your decision on this matter.

Thank you.






[Back to 'How do I get the test']