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Employment Application

If you are interested in employment opportunities with Eastridge-Phelps Pharmacy, LLC:

Click the Download Employment Application button below

Print the Employment Application

Complete the Employment Application

Present the application in person to one of our two locations

Eastridge-Phelps Pharmacy, Campbellsville
500 N Bypass
Campbellsville, KY 42718

Eastridge-Phelps Pharmacy, Greensburg
460 Commerce Dr.
Greensburg, KY 42743

Employment Application

Vaccination Consent & Assessment Form

For vaccinations offered by Eastridge-Phelps Pharmacy:

1. Click the button below for the Vaccination Consent & Assessment Form.
2. Print the form.
3. Fill out the form.
4. Bring the completed form to our pharmacy for your vaccination.

Vaccination Consent & Assessment Form

Patient Services Referral Form

For Patient Services Referral to Eastridge-Phelps Pharmacy:

Click the Download Patient Services Referral button below

Patient Services available:

Medication Delivery Services
Mediplanner (multi-dose medication compliance packaging)
Prescription Savings Review (Medicare Part D, Formulary review)
MedSync (synchronization of medications for once-a-month pick-up)
Blood Glucose Counseling and Monitoring
Blood Pressure Counseling and Monitoring
Transition of Care (medication reconciliation, formulary review, care coordination, etc.)
Chronic Care Management Services
CBD Oil Consultation/Dosing
Customized patient care services

Patient Services Referral Form

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