Sample Screens

 

 

 

 

 

 

 

RxAssist Plus Login Screen


 



RxAssist Plus Patient Search Screen


 

RxAssist Plus New Patient Form


 

RxAssist Plus Patient Demographics Screen


 

RxAssist Plus Household Income Form


 

RxAssist Plus Visit Details Form


 

RxAssist.com PAP Download Screen


 

RxAssist Plus Completed Application Form