Pharmacy Freedom Program

In an effort to help provide a safe, private and independent way for the blind and visually impaired to manage their prescription medications, as well as to help pharmacies comply with ADA regulations in serving their patients, En-Vision America has launched the new Pharmacy Freedom Program. Through this plan, eligible individuals may obtain a free ScripTalk Station patient reader courtesy of En-Vision America. To begin enrollment, request that your local pharmacy provide accessible prescriptions, and to get your free reader, please fill out the form below.

Required fields are indicated, but the more information we have, the better we can serve your needs.

Patient Information

Patient Name: (required)


* A contact email address or phone number is required. Both are preferred.

Phone: * Numbers (and hyphens) only, please.


Email Address: *


Re-enter Email Address: *


Please send a copy of this email to the address above.

Street Address:


Street Address 2:


City:


State/Province: (required)


Zip:


It is OK to share my contact info with advocates.

It is OK to contact alternate pharmacies in my area.

Pharmacy Information

Pharmacy Name: (required)


Pharmacist's Name:


Pharmacy Phone: Numbers (and hyphens) only, please.


Pharmacy Address:


Pharmacy City, State/Province:


Message:


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