Refill Request Form

FAQ

Can any patient use this form?
  • The Refill Request form is for existing patients who have seen a provider within the last three months & have an upcoming (scheduled) follow-up appointment. All requests from those who do not meet these requirements will be denied. 
How long will it take to process my refill request?
  • Medication refills must be requested via e-mail or website at least 4-5 business days prior to running out of your medication. Contact your pharmacy directly FIRST prior to running out of medications. If authorization or a controlled substance is needed, our staff will address your requests with your provider thus needing the 4-5 days prior to running out of medications.