Prescription Refills

 

To obtain a prescription refill, please provide the following information 

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Patient's Full Name

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Patient's Date of Birth

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Medication Name

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Strength

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Dosage

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Frequency

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Pharmacy Name, Address and Phone Number  

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Please note that some prescription refills may require the patient to be evaluated by a physician. 

Please allow 24-48 business hours to allow for refill request to be fulfilled.