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General medication request form (pdf,1 mb) crohn's/ulcerative colitis medication. Notice of privacy practices this form tells you how medical information about you may be used and disclosed and how you. Web aetna specialty pharmacy forms. Web complete an aetna specialty pharmacy general medication request form for each patient. Complete an aetna specialty pharmacy medication request form (pdf, 1 page) for each patient. Web applications and forms for health care professionals in the aetna network and their patients can be found here.