Camper Registration Form

 camping in the woods

Camper Prescriptions: Overview

Fill Prescription Medications

Riverside Remedies HealthMart Pharmacy will meet your child’s prescription medication needs while staying at summer camp!

Riverside Remedies is Sullivan County’s newest full-service independent compounding pharmacy, and the first to find a home in Callicoon in nearly twenty years.

We are locally owned and staffed, and dedicated to providing professional, innovative, and personalized solutions for our patients, friends, and community. Riverside Remedies decided to coordinate with summer camps for this summer season to provide a more integrative and personalized approach to prescription management for their clients and staff. Our pharmacy is only a few short miles away from camp on the New York side of the Delaware River, and rapid access to a wide variety of medications and professional support is never more than a few minutes away.

Our fees are as follows: A $35.00 annual registration fee for the entire duration of camp. This fee is per camper (not per prescription) and does not include insurance copayments. This also does not include Over The Counter items or anything not covered by insurance. Please enter your credit card information at the bottom of the Camper Registration Form.

Registration Deadline is 30 days Prior to Arrival at Camp. Riverside Remedies must receive all necessary registration forms and prescriptions 30 days prior to your child’s first session of camp; a $20 late fee will be assessed if the deadline is not met.

Please use the following forms to provide everything necessary to ensure that your child has prompt access to their prescription medications.

  • Notice of Privacy Practices and Authorization: an explanation of how we will use, utilize, and store protected health information (PHI) at the Pharmacy, as well as your rights to access, amend, or restrict usage of that information. This form also contains a release signature to authorize Riverside Remedies to fill prescriptions for your child and deliver them to their camp for administration.
  • New Patient Enrollment Form: one easy form that contains all necessary information to set your child up to receive prescription medications.
  • Payment Information Form: a provision for us to retain a credit card on file for billing routine maintenance medications. If you have any questions, comments, or concerns about how the prescription process works, please give us a call during normal business hours, or send an email to our confidential email inbox.

Riverside Remedies Pharmacy
39 Lower Main Street, Post Office Box 275
Callicoon, NY 12723

Telephone: (845) 887-3030
Confidential fax: (845) 887-3179
Confidential email: RiversideRemedies@gmail.com

Store hours: Weekdays 8:30 am to 6:00 pm / Saturday 9:00 am to 3:00 pm

We sincerely appreciate your business, and hope you and your child have wonderful summers at home and abroad!

Jeffrey Weyer
Owner
Riverside Remedies

Dr. Gene Burns
Supervising Pharmacist

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