Congratulatons! Your enrollment form is ready to download. Just use the link below to open the enrollment form, print and fax to (888) 767-4151, email to MyDoseAlert@fritzspharmacy.com or bring to the store on your next visit!

MyDoseAlert Enrollment Form

For your reference, here are the Terms and Conditions you agreed to on the previous page, in a printable PDF format:
MyDoseAlert Printable Terms and Conditions

Note: You will need the free Adobe Reader software to view these PDF files. If it's not already installed on your computer, you can download Adobe Reader here.