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17:39:38</ts><attributes><width>768</width><height>1024</height><imagetype>2</imagetype><fileExt>jpeg</fileExt><fileName>WhatsApp_Image_2019-05-01_at_133511</fileName><webDirPath>/yahoo_site_admin/assets/images</webDirPath><uploadTS>120103546</uploadTS><title></title><alt></alt><caption></caption></attributes></assetImage><assetImage><guid>itemGuid.5cc9d98b91e578.18940077</guid><name>assetImage</name><value>/z/dr/nusigmabetamd/us1/yahoo_site_admin/assets/images/WhatsApp_Image_2019-05-01_at_130307_2.120103824.jpeg</value><sort_order>0</sort_order><ts>2019-05-01 17:39:38</ts><attributes><width>1024</width><height>768</height><imagetype>2</imagetype><fileExt>jpeg</fileExt><fileName>WhatsApp_Image_2019-05-01_at_130307_2</fileName><webDirPath>/yahoo_site_admin/assets/images</webDirPath><uploadTS>120103824</uploadTS><title></title><alt></alt><caption></caption></attributes></assetImage></assetImages><yssSysState><guid>recordGuid.yssSysState.preview</guid><name>yssSysState</name><pageId>0</pageId><sort_order>0</sort_order><preview><guid>itemGuid.yssSysState.preview</guid><name>preview</name><value>true</value><sort_order>0</sort_order><ts>2011-08-31 17:19:27</ts></preview></yssSysState><yssSysState><guid>recordGuid.yssSysState.publish</guid><name>yssSysState</name><pageId>0</pageId><sort_order>0</sort_order><publish><guid>itemGuid.yssSysState.publish</guid><name>publish</name><value>true</value><sort_order>0</sort_order><ts>2022-04-06 20:34:19</ts></publish></yssSysState><pageData><guid>itemRecordGuid.4b60786985aee9.75004111</guid><name>pageData</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>0</sort_order><pageNameContent><guid>itemGuid.pgName.pageGuid.4b607869547e05.07172600</guid><name>pageNameContent</name><value><![CDATA[<h2>REFILL REQUEST</h2>]]></value><sort_order>0</sort_order><ts>2010-01-27 17:32:07</ts></pageNameContent><layoutCSS><guid>itemGuid.pgLay.pageGuid.4b607869547e05.07172600</guid><name>layoutCSS</name><value>Layout 4 with Title</value><sort_order>0</sort_order><ts>2019-05-01 17:22:56</ts><attributes><url>unknown</url><name>layout4wt</name><version>unknown</version></attributes></layoutCSS><pageActivity><guid>itemGuid.4b60789ba5a035.52429908</guid><name>pageActivity</name><value></value><sort_order>0</sort_order><ts>2010-01-27 17:32:11</ts><attributes><name>pageContext</name><src>addPage</src><value>request</value></attributes></pageActivity><zone1><guid>itemGuid.4b60789c221b32.26397928.zone1</guid><name>zone1</name><value><![CDATA[<p style="line-height: normal" data-mce-style="line-height: normal;"><span style="font-size: 18pt;" size="5" data-mce-style="font-size: 18pt;"><strong><span style="color: #ff0000;" color="#ff0000" data-mce-style="color: #ff0000;">Although refill medication request are handled on a daily basis, please allow a minimum of 72 hours for your refill request.  This is the same for phone call refill requests</span>.</strong></span> </p>]]></value><sort_order>0</sort_order><ts>2019-05-01 20:49:54</ts><attributes><is_default_value>0</is_default_value></attributes></zone1><zone2><guid>itemGuid.4b60789c221b32.26397928.zone2</guid><name>zone2</name><value><![CDATA[<h3>To avoid delays on your request please make sure to include the below information:</h3><p> </p><ul><li><div><span style="line-height: normal; font-size: 18pt;" data-mce-style="line-height: normal; font-size: 18pt;"><span style="text-decoration: underline;" data-mce-style="text-decoration: underline;"><em><strong>If your last office visit is over 6 months you may need to schedule a follow up appointment</strong></em></span></span></div></li></ul>]]></value><sort_order>0</sort_order><ts>2019-05-01 20:49:54</ts><attributes><is_default_value>0</is_default_value></attributes></zone2><zone3><guid>itemGuid.4b60789c221b32.26397928.zone3</guid><name>zone3</name><value><![CDATA[<h3>Refill Request Form -</h3><h3>Under First Name you may add your last name as well.</h3>]]></value><sort_order>0</sort_order><ts>2019-05-01 20:49:54</ts><attributes><is_default_value>0</is_default_value></attributes></zone3></pageData><form><guid>itemRecordGuid.4b607768b35138.57961496</guid><name>form</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>0</sort_order><attributes><container>zC.1</container></attributes><enable><guid>itemGuid.4b607768b34f32.17504120</guid><name>enable</name><value>1</value><sort_order>0</sort_order><ts>2010-01-27 17:32:07</ts><attributes><is_default_value>0</is_default_value></attributes></enable><name><guid>itemGuid.4b607768b34f32.17504121</guid><name>name</name><value>General inquiry</value><sort_order>0</sort_order><ts>2019-05-03 03:31:34</ts><attributes><is_default_value>0</is_default_value></attributes></name><description><guid>itemGuid.4b607768b34f32.17504122</guid><name>description</name><value>REFILL</value><sort_order>0</sort_order><ts>2010-01-27 17:32:08</ts><attributes><is_default_value>0</is_default_value></attributes></description></form><userData><guid>recordGuid.userData.001.itemRecordGuid.4b607768b35</guid><name>userData</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>0</sort_order><email_request><guid>itemGuid.5cc9f13cbfb551.78189558</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-05-01 19:19:24</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Pedro%20nam</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>N/A</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>2%2F18%2F71</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>56126</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>asdfasd</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>asdfasdf</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>Service%20request message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

Service%20request: REFILL

  First%20Name%3A : Pedro%20nam
  Last%20Name%3A : N/A
  Date%20of%20Birth : 2%2F18%2F71
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  Refill%20requested : asdfasdf
]]></body></message><formType>Service%20request</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.623a0996b3c267.72294451</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-03-22 17:38:31</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Alan</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>LaFoy</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>2%2F27%2F1960</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>954-270-4121</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>CVS%201101%20Royal%20Palm%20Beach%20Blvd</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Amlodipine%20Bestylate%20and%20Hydrichlorothiazide.%20I%20have%20misplaced%20my%20last%20prescription%20and%20ran%20out%20of%20meds</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Alan
  Last%20Name%3A : LaFoy
  Date%20of%20Birth : 2%2F27%2F1960
  Mobile%20Phone%3A : 954-270-4121
  Pharmacy%20Information : CVS%201101%20Royal%20Palm%20Beach%20Blvd
  Refill%20requested : Amlodipine%20Bestylate%20and%20Hydrichlorothiazide.%20I%20have%20misplaced%20my%20last%20prescription%20and%20ran%20out%20of%20meds
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5cca025450eaf9.28088674</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-05-01 20:32:20</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>odaly</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>cabrera</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>11%2F0%2F%2F1972</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5619698842</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>PICK%20UP%20SCRIPT</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>CIPRO%20500%20MG</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>Service%20request message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

Service%20request: REFILL

  First%20Name%3A : odaly
  Last%20Name%3A : cabrera
  Date%20of%20Birth : 11%2F0%2F%2F1972
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  Pharmacy%20Information : PICK%20UP%20SCRIPT
  Refill%20requested : CIPRO%20500%20MG
]]></body></message><formType>Service%20request</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5cca036fdaef67.67704410</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-05-01 20:37:03</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>kristie</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>velasquez</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>04%2F29%2F2019</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>N/A</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>N/A</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>N/A</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>Service%20request message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

Service%20request: REFILL

  First%20Name%3A : kristie
  Last%20Name%3A : velasquez
  Date%20of%20Birth : 04%2F29%2F2019
  Mobile%20Phone%3A : N/A
  Pharmacy%20Information : N/A
  Refill%20requested : N/A
]]></body></message><formType>Service%20request</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5d1a6a6736d2a4.63058329</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-07-01 20:17:43</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Shaun</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Mehaffey</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>11%2F28%2F1982</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5619684700</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>N/A</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Vyvance%20July%20and%20Aug%20RX</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Shaun
  Last%20Name%3A : Mehaffey
  Date%20of%20Birth : 11%2F28%2F1982
  Mobile%20Phone%3A : 5619684700
  Pharmacy%20Information : N/A
  Refill%20requested : Vyvance%20July%20and%20Aug%20RX
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5d3702d2beef57.41435112</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-07-23 12:51:31</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Lidice</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Miranda</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>07%2F20%2F1944</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>561475-8973</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Publix%20Pharmacy%0A8989%20Okeechobee%20blvd%2C%0AWest%20Palm%20Beach%2CFL%2033411%0A(561)333-5301</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Furosemide%2020mg%201tablet%20once%20a%20day</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Lidice
  Last%20Name%3A : Miranda
  Date%20of%20Birth : 07%2F20%2F1944
  Mobile%20Phone%3A : 561475-8973
  Pharmacy%20Information : Publix%20Pharmacy%0A8989%20Okeechobee%20blvd%2C%0AWest%20Palm%20Beach%2CFL%2033411%0A(561)333-5301
  Refill%20requested : Furosemide%2020mg%201tablet%20once%20a%20day
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5d3704ed3598e9.23254802</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-07-23 13:00:29</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Lidice</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Miranda</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>07%2F20%2F1944</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5614758973</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Publix%20Pharmacy%20%0A8989%20Okeechobee%20blvd%0AWEst%20Palm%20Beach%2C%20FL%2033411%0A(561)333-5301</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Rosuvastatin%2010mg%201tablet%20by%20mouth%20once%20daily%20at%20bedtime</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Lidice
  Last%20Name%3A : Miranda
  Date%20of%20Birth : 07%2F20%2F1944
  Mobile%20Phone%3A : 5614758973
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  Refill%20requested : Rosuvastatin%2010mg%201tablet%20by%20mouth%20once%20daily%20at%20bedtime
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5d4c3705b9d9b7.12887680</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-08-08 14:51:50</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Stacey</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Sorensen</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>07%2F17%2F1977</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5615686844</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>CVS%20%40%20%0A1101%20Royal%20Palm%20Beach%20Blvd%0ARoyal%20Palm%20Beach%2C%20FL%2033411%0A%0A561-793-8937</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Linzess%2072mcg%20-%20once%20daily.%20%20(only%20have%20been%20provided%20samples%20provided%20by%20Dr%20Gonzalez%20Nurse%20Practitioner%2Fno%20prior%20script%20in%20system)</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Stacey
  Last%20Name%3A : Sorensen
  Date%20of%20Birth : 07%2F17%2F1977
  Mobile%20Phone%3A : 5615686844
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  Refill%20requested : Linzess%2072mcg%20-%20once%20daily.%20%20(only%20have%20been%20provided%20samples%20provided%20by%20Dr%20Gonzalez%20Nurse%20Practitioner%2Fno%20prior%20script%20in%20system)
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.5d5c98edde22a7.57669368</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2019-08-21 01:05:50</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Steven</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Nolan</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>02271947</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5616190203</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Publix%2C%201180%20Royal%20Palm%20Beach%20Boulevard%2C%20(561)%20383-5011.</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>CIPROFLOXACIN%20HCL%2C%20500%20MG%20TAB%3B%20%20one%20tablet%20by%20mouth%20twice%20a%20day.</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for wellingtoninternist.com</subject><body><![CDATA[A visitor to wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Steven
  Last%20Name%3A : Nolan
  Date%20of%20Birth : 02271947
  Mobile%20Phone%3A : 5616190203
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General%20inquiry: REFILL

  First%20Name%3A : Alan
  Last%20Name%3A : LaFoy
  Date%20of%20Birth : 02%2F27%2F1960
  Mobile%20Phone%3A : 954-270%2F4121
  Pharmacy%20Information : Publix%20at%20Crossroads
  Refill%20requested : Provigil
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.61c3ebb86669e0.80930725</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2021-12-23 03:23:36</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Casimiro</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Ereu</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>12-03-1968</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>561c713%205017</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>walgeens%2015940%20orange%20blvd%0ALoxahatchee%20FL</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>MONTELUKAST%2010MG</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Casimiro
  Last%20Name%3A : Ereu
  Date%20of%20Birth : 12-03-1968
  Mobile%20Phone%3A : 561c713%205017
  Pharmacy%20Information : walgeens%2015940%20orange%20blvd%0ALoxahatchee%20FL
  Refill%20requested : MONTELUKAST%2010MG
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.61c947d6a27a68.53385072</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2021-12-27 04:57:59</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Kimika</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Marks</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>122083</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>561-252-4283</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Publix%20Pharmacy%0A5616870492</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Ozempic%201mg.%20Meclizine%20Ceritizine%20Flexril%20Montelukast%20Firocet%20Amlodipine%20Famotidine.%20Omleosartin.%20All%20Monthly</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Kimika
  Last%20Name%3A : Marks
  Date%20of%20Birth : 122083
  Mobile%20Phone%3A : 561-252-4283
  Pharmacy%20Information : Publix%20Pharmacy%0A5616870492
  Refill%20requested : Ozempic%201mg.%20Meclizine%20Ceritizine%20Flexril%20Montelukast%20Firocet%20Amlodipine%20Famotidine.%20Omleosartin.%20All%20Monthly
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.61dc41dde24781.98728374</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-01-10 14:25:33</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Deven</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Morejon</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>11-14-1992</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5616296301</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Walgreens%20on%20Forest%20Hill%20and%20Jog.%20Prescription%20expired%20on%2001%2F07%2F22.</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Alprazolam%2C%201mg%2C%203x%20daily</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Deven
  Last%20Name%3A : Morejon
  Date%20of%20Birth : 11-14-1992
  Mobile%20Phone%3A : 5616296301
  Pharmacy%20Information : Walgreens%20on%20Forest%20Hill%20and%20Jog.%20Prescription%20expired%20on%2001%2F07%2F22.
  Refill%20requested : Alprazolam%2C%201mg%2C%203x%20daily
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.61eae29293c3d2.29242063</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-01-21 16:42:59</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Mirna</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Godoy</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>08%2F10%2F1953</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>N/A</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Humana%20farmacy</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Lanzoprasol</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Mirna
  Last%20Name%3A : Godoy
  Date%20of%20Birth : 08%2F10%2F1953
  Mobile%20Phone%3A : N/A
  Pharmacy%20Information : Humana%20farmacy
  Refill%20requested : Lanzoprasol
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.61f04abed09fe0.10529379</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-01-25 19:08:47</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Mirna</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Godoy</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>08%2F10%2F1953</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>5618676706</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>Humana%20pharmacy</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Lansoprazole%20DR.%2030%20MG%20cap.</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Mirna
  Last%20Name%3A : Godoy
  Date%20of%20Birth : 08%2F10%2F1953
  Mobile%20Phone%3A : 5618676706
  Pharmacy%20Information : Humana%20pharmacy
  Refill%20requested : Lansoprazole%20DR.%2030%20MG%20cap.
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.62053eac0835c0.89977834</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-02-10 16:34:52</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Deven</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Morejon</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>11%2F14%2F1992</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>15616296301</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>9675%20NW%2041st%20St%2C%20Doral%2C%20FL%2033178%0A%0AStore%20%233211</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Alprazolam%2C%201mg%2C%203x%20daily</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Deven
  Last%20Name%3A : Morejon
  Date%20of%20Birth : 11%2F14%2F1992
  Mobile%20Phone%3A : 15616296301
  Pharmacy%20Information : 9675%20NW%2041st%20St%2C%20Doral%2C%20FL%2033178%0A%0AStore%20%233211
  Refill%20requested : Alprazolam%2C%201mg%2C%203x%20daily
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.6230b1f930e9c8.06942402</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-03-15 15:34:17</ts><attributes><formFields><name>First%20Name%3A</name><entity>profile</entity><value>Nelestra</value></formFields><formFields><name>Last%20Name%3A</name><entity>profile</entity><value>Victorine</value></formFields><formFields><name>Date%20of%20Birth</name><entity>profile</entity><value>3%2F1%2F1988</value></formFields><formFields><name>Mobile%20Phone%3A</name><entity>profile</entity><value>7729850700</value></formFields><formFields><name>Pharmacy%20Information</name><entity>request</entity><value>1025%20SE%20Port%20St.%20Lucie%20Blvd%2C%20Port%20St.%20Lucie%2C%20FL%2034952%0AWalgreens%20772-335-4200</value></formFields><formFields><name>Refill%20requested</name><entity>request</entity><value>Olmsarton%201%20daily</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  First%20Name%3A : Nelestra
  Last%20Name%3A : Victorine
  Date%20of%20Birth : 3%2F1%2F1988
  Mobile%20Phone%3A : 7729850700
  Pharmacy%20Information : 1025%20SE%20Port%20St.%20Lucie%20Blvd%2C%20Port%20St.%20Lucie%2C%20FL%2034952%0AWalgreens%20772-335-4200
  Refill%20requested : Olmsarton%201%20daily
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request><email_request><guid>itemGuid.6238797dc53223.57596545</guid><name>email_request</name><value>0</value><sort_order>0</sort_order><ts>2022-03-21 13:11:25</ts><attributes><formFields><name>Primer%20nombre%3A</name><entity>profile</entity><value>Hugo</value></formFields><formFields><name>Apellido%3A</name><entity>profile</entity><value>Godoy</value></formFields><formFields><name>Fecha%20de%20nacimiento</name><entity>profile</entity><value>05%2F30%2F1951</value></formFields><formFields><name>Tel%C3%A9fono%20m%C3%B3vil%3A</name><entity>profile</entity><value>15617672809</value></formFields><formFields><name>Informaci%C3%B3n%20de%20farmacia</name><entity>request</entity><value>HUMANA</value></formFields><formFields><name>recarga%20solicitada</name><entity>request</entity><value>Levothyroxine%20125%20mg.</value></formFields><message><from>nurse%40wellingtoninternist.com</from><to>nurse%40wellingtoninternist.com</to><subject>General%20inquiry message for www.wellingtoninternist.com</subject><body><![CDATA[A visitor to www.wellingtoninternist.com has sent a message through your form.

General%20inquiry: REFILL

  Primer%20nombre%3A : Hugo
  Apellido%3A : Godoy
  Fecha%20de%20nacimiento : 05%2F30%2F1951
  Tel%C3%A9fono%20m%C3%B3vil%3A : 15617672809
  Informaci%C3%B3n%20de%20farmacia : HUMANA
  recarga%20solicitada : Levothyroxine%20125%20mg.
]]></body></message><formType>General%20inquiry</formType><formDesc>REFILL</formDesc></attributes></email_request></userData><formElement><guid>itemRecordGuid.4c5870a21ebc83.29173391</guid><name>formElement</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>1</sort_order><attributes><container>zC.1</container></attributes><moduleSortOrder><guid>mso_itemRecordGuid.4c5870a21ebc83.29173391</guid><name>moduleSortOrder</name><value>sort order default</value><sort_order>1</sort_order><ts>2010-08-03 19:45:06</ts></moduleSortOrder><description><guid>itemGuid.4c5870a21eb502.49164425</guid><name>description</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:45:06</ts><attributes><type>formElement</type><is_default_value>1</is_default_value><default_varname>module_zC_formBuilder_description</default_varname></attributes></description><label><guid>itemGuid.4c5870a21eb502.49164423</guid><name>label</name><value>First Name:</value><sort_order>0</sort_order><ts>2010-08-03 19:45:06</ts><attributes><is_default_value>0</is_default_value></attributes></label><meta><guid>itemGuid.4c5870a21eb502.49164426</guid><name>meta</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:45:06</ts><attributes><is_default_value>0</is_default_value><entity>profile</entity><datatype>name</datatype><form>itemRecordGuid.4b607768b35138.57961496</form></attributes></meta><control><guid>itemGuid.4c5870a21eb502.49164424</guid><name>control</name><value>profileFirstName</value><sort_order>0</sort_order><ts>2010-08-03 19:45:06</ts><attributes><is_default_value>0</is_default_value></attributes></control></formElement><formElement><guid>itemRecordGuid.4c5870a21ebc83.29173393</guid><name>formElement</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>2</sort_order><attributes><container>zC.1</container></attributes><moduleSortOrder><guid>mso_itemRecordGuid.4c5870a21ebc83.29173393</guid><name>moduleSortOrder</name><value>sort order default</value><sort_order>2</sort_order><ts>2010-08-03 19:51:19</ts></moduleSortOrder><description><guid>itemGuid.4c5870a21eb502.49164433</guid><name>description</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:51:19</ts><attributes><type>formElement</type><is_default_value>1</is_default_value><default_varname>module_zC_formBuilder_description</default_varname></attributes></description><label><guid>itemGuid.4c5870a21eb502.49164431</guid><name>label</name><value>Last Name:</value><sort_order>0</sort_order><ts>2010-08-03 19:51:20</ts><attributes><is_default_value>0</is_default_value></attributes></label><control><guid>itemGuid.4c5870a21eb502.49164432</guid><name>control</name><value>profileLastName</value><sort_order>0</sort_order><ts>2010-08-03 19:51:20</ts><attributes><is_default_value>0</is_default_value></attributes></control><meta><guid>itemGuid.4c5870a21eb502.49164434</guid><name>meta</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:51:20</ts><attributes><is_default_value>0</is_default_value><entity>profile</entity><datatype>surname</datatype><form>itemRecordGuid.4b607768b35138.57961496</form></attributes></meta></formElement><formElement><guid>itemRecordGuid.4c5870a21ebc83.29173395</guid><name>formElement</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>4</sort_order><attributes><container>zC.1</container></attributes><moduleSortOrder><guid>mso_itemRecordGuid.4c5870a21ebc83.29173395</guid><name>moduleSortOrder</name><value>sort order default</value><sort_order>4</sort_order><ts>2019-05-01 19:18:06</ts></moduleSortOrder><description><guid>itemGuid.4c5870a21eb502.49164441</guid><name>description</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:51:21</ts><attributes><type>formElement</type><is_default_value>1</is_default_value><default_varname>module_zC_formBuilder_description</default_varname></attributes></description><label><guid>itemGuid.4c5870a21eb502.49164439</guid><name>label</name><value>Mobile Phone:</value><sort_order>0</sort_order><ts>2010-08-03 19:51:21</ts><attributes><is_default_value>0</is_default_value></attributes></label><control><guid>itemGuid.4c5870a21eb502.49164440</guid><name>control</name><value>profileMobilePhone</value><sort_order>0</sort_order><ts>2010-08-03 19:51:21</ts><attributes><is_default_value>0</is_default_value></attributes></control><meta><guid>itemGuid.4c5870a21eb502.49164442</guid><name>meta</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:51:21</ts><attributes><is_default_value>0</is_default_value><entity>profile</entity><datatype>phone</datatype><form>itemRecordGuid.4b607768b35138.57961496</form></attributes></meta></formElement><formElement><guid>itemRecordGuid.4c5870a21ebc83.29173396</guid><name>formElement</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>5</sort_order><attributes><container>zC.1</container></attributes><moduleSortOrder><guid>mso_itemRecordGuid.4c5870a21ebc83.29173396</guid><name>moduleSortOrder</name><value>sort order default</value><sort_order>6</sort_order><ts>2019-05-01 19:18:06</ts></moduleSortOrder><description><guid>itemGuid.4c5870a21eb502.49164445</guid><name>description</name><value><![CDATA[<font color="#000000"><strong>Include drug(s) name, dosage and frequency</strong></font>]]></value><sort_order>0</sort_order><ts>2010-08-03 19:53:01</ts><attributes><type>formElement</type><is_default_value>0</is_default_value><default_varname>module_zC_formBuilder_description</default_varname></attributes></description><label><guid>itemGuid.4c5870a21eb502.49164443</guid><name>label</name><value>Refill requested</value><sort_order>0</sort_order><ts>2010-08-03 19:51:22</ts><attributes><is_default_value>0</is_default_value></attributes></label><control><guid>itemGuid.4c5870a21eb502.49164444</guid><name>control</name><value>requestServiceText</value><sort_order>0</sort_order><ts>2019-05-01 19:21:54</ts><attributes><is_default_value>0</is_default_value><required>0</required></attributes></control><meta><guid>itemGuid.4c5870a21eb502.49164446</guid><name>meta</name><value></value><sort_order>0</sort_order><ts>2010-08-03 19:51:22</ts><attributes><is_default_value>0</is_default_value><entity>request</entity><datatype>service</datatype><form>itemRecordGuid.4b607768b35138.57961496</form></attributes></meta></formElement><formElement><guid>itemRecordGuid.4c5870a21ebc83.29173397</guid><name>formElement</name><pageId>pageGuid.4b607869547e05.07172600</pageId><sort_order>6</sort_order><attributes><container>zC.1</container></attributes><moduleSortOrder><guid>mso_itemRecordGuid.4c5870a21ebc83.29173397</guid><name>moduleSortOrder</name><value>sort order default</value><sort_order>5</sort_order><ts>2019-05-01 19:18:06</ts></moduleSortOrder><description><guid>itemGuid.4c5870a21eb502.49164449</guid><name>description</name><value>Include pharmacy name and telephone number.</value><sort_order>0</sort_order><ts>2010-08-03 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