About Us

Request Prescription Refills

Please complete the secure form below and press submit. If there is a problem with your prescription refill request or we require more information from you, we will contact you by phone.

All requests will be processed within 24 - 48 hours during regular business hours, Monday - Friday, 8:30 am - 5:00 pm, excluding holidays. If you require an immediate refill or have a question, please contact our office.

Please complete the following information in its entirety.

* indicates required fields.








Please Note: Controlled substances cannot be called in. These prescriptions
must be mailed or picked up.



Prescription #1


 (in mgs/mls)


Prescription #2


 (in mgs/mls)



Please tell us which pharmacy you would like us to call your prescription into. Please be precise as there are many pharmacies and pharmacy locations.