Verify Your Prescriptions

  • Click on the Download File button to display the form in a browser or to save the form to your computer.

    After you’ve clicked the Download button, you have several choices:

    • Fill in the form directly on your computer. After filling in the form, save the file. Then return the file to Paul in one of these two ways:
    • Print out the form. Fill in the printed form by hand. Then return the file to Paul in one of these four ways:
      • Fax the filled-in form to 818 -993-1497.
      • Scan the filled-in form and go to https://pdinsure.com/uploads to upload the file in an encrypted manner.
      • Mail the filled-in form to
        P.O. Box 7265
        Van Nuys CA  91409
      • Deliver the filled-in form during normal business hours to
        Paul Davis Insurance Services
        17347 Napa St.
        Northridge, CA 91325
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