Font Size Decrease Font Size Increase Font Size

Medication List

You can store a medication list along with other information on file for your child. Click here If you would like to add a medication list.

Make sure to include your child's member information, and submit the form to

DocuBank Minors Matter
Medication List

P.O. Box 629
Springfield, PA 19064

Questions?  Call us toll free - 866-829-0993.

Thank you!

DocuBank is a registered trademark of Advance Choice, Inc.
close Close Box

Get Child's Emergency Information

Member Number:
Pin Number: