Protected: Synapsin & Methylene Blue Order Form

Password Notice The following page is exclusive to verified providers, and requires a password from Town & Country Compounding. If you don't have the password yet, get it HERE.

Please Note: This is not access to the provider portal, To access the provider portal click here.

How to send in Prescription Order Forms

Medical practitioners can easily send in their Prescription Order Forms to Town & Country Compounding through our Provider Portal.

Protected: Synapsin & Methylene Blue Order Form

How to send in Prescription Order Forms

Controlled substances must be completed electronically.

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