{"id":3217,"date":"2026-04-29T21:17:27","date_gmt":"2026-04-29T21:17:27","guid":{"rendered":"https:\/\/safetypassportrx.com\/?page_id=3217"},"modified":"2026-05-05T10:44:33","modified_gmt":"2026-05-05T10:44:33","slug":"safetyrx","status":"publish","type":"page","link":"https:\/\/safetypassportrx.com\/","title":{"rendered":"SafetyRX"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;--awb-box-shadow: 0px 0px ;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-row\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:12px;--awb-margin-right-small:0px;--awb-margin-bottom-small:24px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:54;line-height:1.14;\"><h3><span style=\"color: #0454a0;\">Built for families who need clarity, not medical jargon.<\/span><\/h3><\/h2><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:2%;--awb-padding-bottom:0px;--awb-margin-bottom:0px;--awb-margin-top-medium:30px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" style=\"--awb-padding-bottom:0px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-margin-bottom-medium:10px;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-margin-top-small:0px;--awb-spacing-right-small:1.92%;--awb-margin-bottom-small:0px;--awb-spacing-left-small:1.92%;\" data-animationType=\"fadeInUp\" data-animationDuration=\"1.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-max-width:600px;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\" style=\"border-radius:8px;\"><img decoding=\"async\" width=\"600\" height=\"43\" title=\"Is for y (1)\" src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/Is-for-y-1.png\" data-orig-src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/Is-for-y-1.png\" alt class=\"lazyload img-responsive wp-image-3205\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27600%27%20height%3D%2743%27%20viewBox%3D%270%200%20600%2043%27%3E%3Crect%20width%3D%27600%27%20height%3D%2743%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/Is-for-y-1-200x14.png 200w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/Is-for-y-1-400x29.png 400w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/Is-for-y-1.png 600w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 640px) 100vw, 600px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-padding-left:17px;--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:7.2%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:7.2%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-1 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#3a9c8f;--awb-circle-hover-accent-color:#3a9c8f;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div class=\"icon\"><span style=\"height:42px;width:42px;line-height:22px;border-color:rgba(255,255,255,0);border-width:1px;border-style:solid;background-color:#0454a0;box-sizing:content-box;border-radius:50%;\"><i style=\"border-color:#0454a0;border-width:1px;background-color:#0454a0;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;position:relative;top:auto;left:auto;margin:0;border-radius:50%;font-size:20px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-users fas circle-yes\"><\/i><\/span><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Family Caregivers<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>For adult children, spouses, and caregivers helping someone manage several medications.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-2 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#3a9c8f;--awb-circle-hover-accent-color:#3a9c8f;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div class=\"icon\"><span style=\"height:42px;width:42px;line-height:22px;border-color:rgba(255,255,255,0);border-width:1px;border-style:solid;background-color:#0454a0;box-sizing:content-box;border-radius:50%;\"><i style=\"border-color:#0454a0;border-width:1px;background-color:#0454a0;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;position:relative;top:auto;left:auto;margin:0;border-radius:50%;font-size:20px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-prescription fas circle-yes\"><\/i><\/span><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Multiple medications<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>Especially when prescriptions come from different doctors, clinics, or pharmacies<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-3 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#3a9c8f;--awb-circle-hover-accent-color:#3a9c8f;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div class=\"icon\"><span style=\"height:42px;width:42px;line-height:22px;border-color:rgba(255,255,255,0);border-width:1px;border-style:solid;background-color:#0454a0;box-sizing:content-box;border-radius:50%;\"><i style=\"border-color:#0454a0;border-width:1px;background-color:#0454a0;box-sizing:content-box;height:40px;width:40px;line-height:40px;border-radius:50%;position:relative;top:auto;left:auto;margin:0;border-radius:50%;font-size:20px;\" aria-hidden=\"true\" class=\"fontawesome-icon fa-exclamation-triangle fas circle-yes\"><\/i><\/span><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Side effect concerns<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>When symptoms appear after a new medication, dose change, or refill change.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0%;--awb-padding-bottom:0%;--awb-margin-top:3px;--awb-margin-bottom:1px;--awb-background-color:#05203e;--awb-background-image:linear-gradient(216deg, #f4f4f6 0%,#ffffff 100%);--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-first fusion-animated\" style=\"--awb-padding-bottom:25px;--awb-bg-color:#399c8e;--awb-bg-color-hover:#399c8e;--awb-bg-size:cover;--awb-margin-top:5px;--awb-margin-bottom:16px;width:50%;width:calc(50% - ( ( 0% ) * 0.5 ) );margin-right: 0%;\" data-animationType=\"fadeInLeft\" data-animationDuration=\"1.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:12px;--awb-margin-right-small:0px;--awb-margin-bottom-small:24px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:54;line-height:1.14;\"><h2 dir=\"ltr\"><span style=\"color: #ffffff;\">How the founding<br \/>\npilot works<\/span><\/h2><\/h2><\/div><div class=\"fusion-text fusion-text-1\" style=\"--awb-content-alignment:left;--awb-font-size:24px;--awb-line-height:1.48em;--awb-letter-spacing:-0.01em;--awb-margin-top:0px;--awb-margin-right:50px;--awb-margin-left:50px;\"><p><span style=\"color: #ffffff;\">The first 25 selected families will receive a structured medication safety review designed to help them better understand whether multiple medications, recent changes, possible interactions, or expected side effects could be contributing to what they are seeing.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_2 1_2 fusion-one-half fusion-column-last fusion-animated\" style=\"--awb-padding-left:2px;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:46px;width:50%;width:calc(50% - ( ( 0% ) * 0.5 ) );\" data-animationType=\"fadeInRight\" data-animationDuration=\"1.6\" data-animationOffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-column-content-centered\"><div class=\"fusion-column-content\"><div class=\"fusion-image-element in-legacy-container\" style=\"--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-2 hover-type-none\" style=\"border-radius:8px;\"><img decoding=\"async\" width=\"944\" height=\"630\" title=\"consultation\" src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1.png\" data-orig-src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1.png\" alt class=\"lazyload img-responsive wp-image-3140\" srcset=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27944%27%20height%3D%27630%27%20viewBox%3D%270%200%20944%20630%27%3E%3Crect%20width%3D%27944%27%20height%3D%27630%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-srcset=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1-200x133.png 200w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1-400x267.png 400w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1-600x400.png 600w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1-800x534.png 800w, https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/04\/consultation-1.png 944w\" data-sizes=\"auto\" data-orig-sizes=\"(max-width: 1024px) 100vw, 800px\" \/><\/span><\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-4 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#000000;--awb-circle-hover-accent-color:#000000;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div aria-hidden=\"true\" class=\"image\"><img decoding=\"async\" class=\"lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27120%27%20height%3D%27120%27%20viewBox%3D%270%200%20120%20120%27%3E%3Crect%20width%3D%27120%27%20height%3D%27120%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/05\/1.png\" width=\"120\" height=\"120\" alt=\"\" \/><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Apply<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>Tell us what is worrying you, what changed recently, and how many medications your loved one is taking.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-5 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#000000;--awb-circle-hover-accent-color:#000000;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div aria-hidden=\"true\" class=\"image\"><img decoding=\"async\" class=\"lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27120%27%20height%3D%27120%27%20viewBox%3D%270%200%20120%20120%27%3E%3Crect%20width%3D%27120%27%20height%3D%27120%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/05\/2.png\" width=\"120\" height=\"120\" alt=\"\" \/><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Organize<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>If selected, we request medication details and organize the concern into a structured review.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:20px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-content-boxes content-boxes columns row fusion-columns-1 fusion-columns-total-1 fusion-content-boxes-6 content-boxes-icon-with-title content-left\" style=\"--awb-hover-accent-color:#000000;--awb-circle-hover-accent-color:#000000;--awb-item-margin-bottom:40px;\" data-animationOffset=\"top-into-view\"><div style=\"--awb-backgroundcolor:rgba(255,255,255,0);\" class=\"fusion-column content-box-column content-box-column content-box-column-1 col-lg-12 col-md-12 col-sm-12 fusion-content-box-hover content-box-column-last content-box-column-last-in-row\"><div class=\"col content-box-wrapper content-wrapper link-area-link-icon content-icon-wrapper-yes icon-hover-animation-fade\" data-animationOffset=\"top-into-view\"><div class=\"heading heading-with-icon icon-left\"><div aria-hidden=\"true\" class=\"image\"><img decoding=\"async\" class=\"lazyload\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%27120%27%20height%3D%27120%27%20viewBox%3D%270%200%20120%20120%27%3E%3Crect%20width%3D%27120%27%20height%3D%27120%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/safetypassportrx.com\/wp-content\/uploads\/2026\/05\/3.png\" width=\"120\" height=\"120\" alt=\"\" \/><\/div><h2 class=\"content-box-heading fusion-responsive-typography-calculated\" style=\"--h2_typography-font-size:24px;--fontSize:24;line-height:1.14;\">Discuss<\/h2><\/div><div class=\"fusion-clearfix\"><\/div><div class=\"content-container\">\n<p>You receive plain-English watch items and questions to raise with a doctor or pharmacist.<\/p>\n<\/div><\/div><\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;--awb-box-shadow: 0px 0px ;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-row\"><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-two\" style=\"--awb-margin-top-small:12px;--awb-margin-right-small:0px;--awb-margin-bottom-small:24px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:54;line-height:1.14;\"><h3><span style=\"color: #0454a0;\">Apply for the Safety PassportRX founding pilot<\/span><\/h3><\/h2><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><p>This short intake helps us understand whether Safety PassportRX is a good fit and whether the situation may need urgent medical attention.<\/p>\n<\/div><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-3222\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"3222\" data-config=\"{&quot;form_id&quot;:&quot;3222&quot;,&quot;form_post_id&quot;:&quot;3222&quot;,&quot;post_id&quot;:3217,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:[&quot;message&quot;],&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;name&quot;:&quot;Your name&quot;,&quot;email&quot;:&quot;Email&quot;,&quot;phone_number&quot;:&quot;Phone number&quot;,&quot;relationship_to_loved_one&quot;:&quot;Relationship to loved one&quot;,&quot;loved_ones_age&quot;:&quot;Loved one&#039;s age&quot;,&quot;any_recent_medication_change&quot;:&quot;Any recent medication change?&quot;,&quot;how_many_prescriptions_are_they_taking&quot;:&quot;\\u201cHow many prescription medications?&quot;,&quot;how_many_doctorsclinics_prescribe_medications&quot;:&quot;How many doctors\\\/clinics prescribe medications?&quot;,&quot;what_concerns_are_you_seeing&quot;:&quot;What concerns are you seeing?&quot;,&quot;what_is_worrying_you_most_right_now&quot;:&quot;What is worrying you most right now?&quot;,&quot;can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected&quot;:&quot;Can you provide a medication list or photos of medication bottles if selected?&quot;,&quot;disclaimer&quot;:&quot;Disclaimer&quot;,&quot;acknowledgement&quot;:&quot;Acknowledgement&quot;},&quot;field_logics&quot;:{&quot;name&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;relationship_to_loved_one&quot;:&quot;&quot;,&quot;loved_ones_age&quot;:&quot;&quot;,&quot;any_recent_medication_change&quot;:&quot;&quot;,&quot;how_many_prescriptions_are_they_taking&quot;:&quot;&quot;,&quot;how_many_doctorsclinics_prescribe_medications&quot;:&quot;&quot;,&quot;what_concerns_are_you_seeing&quot;:&quot;&quot;,&quot;what_is_worrying_you_most_right_now&quot;:&quot;&quot;,&quot;can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected&quot;:&quot;&quot;,&quot;disclaimer&quot;:&quot;&quot;,&quot;acknowledgement&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;,&quot;notice_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;name&quot;:&quot;text&quot;,&quot;email&quot;:&quot;email&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;relationship_to_loved_one&quot;:&quot;select&quot;,&quot;loved_ones_age&quot;:&quot;number&quot;,&quot;any_recent_medication_change&quot;:&quot;select&quot;,&quot;how_many_prescriptions_are_they_taking&quot;:&quot;select&quot;,&quot;how_many_doctorsclinics_prescribe_medications&quot;:&quot;select&quot;,&quot;what_concerns_are_you_seeing&quot;:&quot;checkbox&quot;,&quot;what_is_worrying_you_most_right_now&quot;:&quot;textarea&quot;,&quot;can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected&quot;:&quot;select&quot;,&quot;disclaimer&quot;:&quot;textarea&quot;,&quot;acknowledgement&quot;:&quot;checkbox&quot;,&quot;submit_1&quot;:&quot;submit&quot;,&quot;notice_1&quot;:&quot;notice&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;&quot;,&quot;form_views_counting&quot;:&quot;&quot;}\"><form action=\"https:\/\/safetypassportrx.com\/\" method=\"post\" class=\"fusion-form fusion-form-3222\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:20px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><div class=\"fusion-form-label-wrapper\"><label for=\"name\">Your name <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"text\" autocomplete=\"off\" name=\"name\" id=\"name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><div class=\"fusion-form-label-wrapper\"><label for=\"email\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"email\" autocomplete=\"off\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">Phone number <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"tel\" autocomplete=\"off\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"relationship_to_loved_one\">Relationship to loved one <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"relationship_to_loved_one\" name=\"relationship_to_loved_one\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Select one\" >Select one<\/option><option value=\"Spouse\/Partner\" >Spouse\/Partner<\/option><option value=\"Adult Child\" >Adult Child<\/option><option value=\"Sibling\" >Sibling<\/option><option value=\"Friend\/Neighbor\" >Friend\/Neighbor<\/option><option value=\"Professional Caregiver\" >Professional Caregiver<\/option><option value=\"I am asking for myself\" >I am asking for myself<\/option><option value=\"Other\" >Other<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-number-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><div class=\"fusion-form-label-wrapper\"><label for=\"loved_ones_age\">Loved one&#039;s age <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><input type=\"number\" autocomplete=\"off\" name=\"loved_ones_age\" id=\"loved_ones_age\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\" min=\"0\" max=\"100\"\/><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"any_recent_medication_change\">Any recent medication change? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"any_recent_medication_change\" name=\"any_recent_medication_change\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Select one\" >Select one<\/option><option value=\"Yes, within the last 7 days\" >Yes, within the last 7 days<\/option><option value=\"Yes, within the last 30 days\" >Yes, within the last 30 days<\/option><option value=\"Yes, within the last 90 days\" >Yes, within the last 90 days<\/option><option value=\"No known recent change\" >No known recent change<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"how_many_prescriptions_are_they_taking\">\u201cHow many prescription medications? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"how_many_prescriptions_are_they_taking\" name=\"how_many_prescriptions_are_they_taking\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Select one\" >Select one<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3 or more\" >3 or more<\/option><option value=\"Not sure\" >Not sure<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"how_many_doctorsclinics_prescribe_medications\">How many doctors\/clinics prescribe medications? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"how_many_doctorsclinics_prescribe_medications\" name=\"how_many_doctorsclinics_prescribe_medications\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Select one\" >Select one<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3 or more\" >3 or more<\/option><option value=\"Not sure\" >Not sure<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">What concerns are you seeing?<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-0\" type=\"checkbox\" value=\"Dizziness or lightheadedness\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-0\">Dizziness or lightheadedness<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-1\" type=\"checkbox\" value=\"Confusion, memory, or behavior changes\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-1\">Confusion, memory, or behavior changes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-2\" type=\"checkbox\" value=\"Falls, balance problems, or weakness\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-2\">Falls, balance problems, or weakness<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-3\" type=\"checkbox\" value=\"Fatigue or unusual sleepiness\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-3\">Fatigue or unusual sleepiness<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-4\" type=\"checkbox\" value=\"Sleep changes or agitation\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-4\">Sleep changes or agitation<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-5\" type=\"checkbox\" value=\"Nausea, appetite, bowel or stomach issues\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-5\">Nausea, appetite, bowel or stomach issues<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-6\" type=\"checkbox\" value=\"New pain, tremors, or movement changes\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-6\">New pain, tremors, or movement changes<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-what_concerns_are_you_seeing-1-7\" type=\"checkbox\" value=\"Other concerns\" name=\"what_concerns_are_you_seeing[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-what_concerns_are_you_seeing-1-7\">Other concerns<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"what_is_worrying_you_most_right_now\">What is worrying you most right now?<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"what_is_worrying_you_most_right_now\" name=\"what_is_worrying_you_most_right_now\" class=\"fusion-form-input\" placeholder=\"Example: Mom became very dizzy after a new blood pressure medicine was added last week. \" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-form-field fusion-form-select-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected\">Can you provide a medication list or photos of medication bottles if selected? <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><div class=\"fusion-select-wrapper\"><select autocomplete=\"off\" tabindex=\"\" id=\"can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected\" name=\"can_you_provide_a_medication_list_or_photos_of_medication_bottles_if_selected\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"><option value=\"Select one\" >Select one<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><option value=\"Not sure\" >Not sure<\/option><\/select><div class=\"select-arrow\"><svg width=\"12\" height=\"8\" viewBox=\"0 0 12 8\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"> <path d=\"M1.5 1.75L6 6.25L10.5 1.75\" stroke=\"#6D6D6D\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/> <\/svg><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><label for=\"disclaimer\">Disclaimer <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"12\" tabindex=\"\" id=\"disclaimer\" name=\"disclaimer\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" readonly data-holds-private-data=\"false\">Safety PassportRX provides organization, education, and medication-safety discussion support. It does not provide medical diagnosis, emergency care, or treatment. Do not stop, start, or change any medication without guidance from a licensed clinician.\r\n\r\nIf symptoms are sudden, severe, worsening, or life-threatening, call 911 or seek urgent medical care.<\/textarea><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><fieldset><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Acknowledgement <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-acknowledgement-2-0\" type=\"checkbox\" value=\"I understand this is an application for educational medication-safety support and is not medical care, diagnosis, or emergency service.\" name=\"acknowledgement[]\" class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" data-holds-private-data=\"false\"\/><label for=\"checkbox-acknowledgement-2-0\">I understand this is an application for educational medication-safety support and is not medical care, diagnosis, or emergency service.<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"3222\"><div ><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-default-span  button-default form-form-submit\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:#4bb7a9;--button_gradient_bottom_color:#4bb7a9;--button_gradient_top_color_hover:#8dc73d;--button_gradient_bottom_color_hover:#8dc73d;\" data-form-number=\"3222\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Submit application<\/span><\/button><\/div><\/div><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed alert-shadow\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Thank you. Your Safety PassportRX founding pilot application has been received. If the situation appears appropriate for the pilot, we will contact you with next steps. If this is urgent or worsening, contact your doctor, pharmacist, or emergency services right away.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed alert-shadow\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">There was an error trying to send your message. Please try again later.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_store_ip_ua\" value=\"true\"><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><\/form><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><div class=\"brz-root__container\"><\/div>\n<\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"content-type":"","footnotes":""},"class_list":["post-3217","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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