Some of the pharmacies are looking for authorization letter when you buying medicines, especially if the medicine is antibiotics or if you cannot buy due to your condition. This sample letter will help you with the right format of the letter when you buy medicine. But do not forget to change the details and medicines that you want to buy.
Last Updated: July 30, 2019
AUTHORIZATION LETTER WHEN BUYING MEDICINES
-SAMPLE-
October 1, 2010
Dear Pharmacist,
I authorize my daughter, Samanta D. Asis, to buy my medicines because I can’t go there personally due to my condition. I need to buy these medicines as prescribed by my doctor.
Losartan 50mg — 20 pcs.
Prednisone 10mg — 20 pcs.
Co-Trimoxazole 80/400mg — 15 pcs.
Thank you!
Attached are my doctors’ prescription, Purchase Booklet, and my Senior Citizen’s card.
Respectfully Yours,
-signature-
Manilyn D. Asis
-FORMAT-
[DATE]
Dear Pharmacist,
I authorize my [FAMILY/RELATIVES], [NAME OF PERSON WHO BUY YOUR MEDICINES], to buy my medicines because I can’t go there personally due to my condition. I need to buy these medicines as prescribed by my doctor.
[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]
[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]
[NAME OF MEDICINE] [DOSAGE] — [QUANTITY]
Thank you!
Attached are my doctors’ prescription, Purchase Booklet, and my Senior Citizen’s card.
Respectfully Yours,
[SIGNATURE]
[YOUR NAME]
FOR NATIVE LANGUAGE SAMPLE
Download the files below
WORD FORMAT: .doc & .docx
Note: You can use this sample if you are located only in the Philippines country. Do not copy the exact date, person, location and other details above. Remember that this is just a guide to you for creating your authorization letters.
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