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New Patient

We’d love to add you to the KC Drugs Family!


To help ensure our patient records are accurate and up to date, please complete this form.

If you’re enrolling more than one person, a separate form will need to be completed for each individual.

This information is vital for prescription processing and will remain strictly confidential.

Thank you for choosing KC Drugs. We’re proud to serve you!

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Date of Birth
Month
Day
Year
Other Phone Number
Address
Gender
How would you like to be notified when your prescriptions are ready?
Would you like your prescriptions to be refilled automatically when they are due?
Yes
No
Would you like all of your prescriptions to be ready at the same time every month?
Yes
No
Would you like us to transfer all active medications?
Yes
No
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40870 AL HWY 69 STE D Moundville, AL 35474

(205) 371-8755

kcdrugco@yahoo.com

Our Hours

Monday: 8:00 AM - 6:00 PM

Tuesday: 8:00 AM - 6:00 PM

Wednesday: 8:00 AM - 6:00 PM

Thursday: 8:00 AM - 6:00 PM

Friday: 8:00 AM - 6:00 PM

Saturday: 8:00 AM - 12:00 PM

Sunday: Closed

Contact us

©2025 by Brooke Glover

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