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Prescription Connection
Home : Prescription Connection : PC application
PC application

Click the link below to access the Prescription Connection application.

To email this document to the Prescription Connection program, complete the following steps:
  1. Fill out the form.
  2. Choose File>Save As (or click the save icon) and save it to your computer.
  3. Open your email account and create a new message.
  4. Attach the file to the email message and send it to ndshic@nd.gov.



PC application

Prescription Connection Application SFN 58370