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.

  • Date Format: MM slash DD slash YYYY
  • Please Note: Controlled substances cannot be called in. These prescriptions must be mailed or picked up.
  • Prescription #1
  • Prescription #2
  • Pharmacy information

    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.

  • Pharmacy Address * Required

* Required Fields

What Our Patients Are Saying

View All Testimonials learn-more-arrow
  • "I believe the true test of a feeling of trust and admiration for a doctor and a practice is when asked ...

    Donna Dempsey

    Bohemia

    Procedure

    Rostrum-Gould (Ankle Instability Surgery)

    Performed By

    John Feder, M.D.

  • "I cannot say enough about Dr. Krochak.  He is a highly skilled surgeon, who is compassionate, caring ...

    Eric Blasich

    Procedure

    Shoulder Labral Repair

    Performed By

    Ryan Krochak, M.D.

  • "I have been a patient of Dr. Alpesh Shah since May 2012 as I had to have rotator cuff surgery. There ...

    Joseph Manzari

    Procedure

    Rotator Cuff Surgery

    Performed By

    Alpesh Shah, M.D.

New
Appointment
Follow-Up
Appointment
Hero Shape

Request an Appointment

During this crisis, we’re providing on-call care by appointment only for those experiencing orthopedic pain. For the health and safety of our patients, staff and community, we’re temporarily becoming an “on-call” only practice—offering both in-person and telehealth visits. Call 516-536-2800 or 631-706-2800 and a member of our orthopedic team will work with you to assess whether you need immediate attention. Learn more
To schedule a new appointment in the near future, please fill out the form below. We will respond as quickly as possible. To request a follow-up appointment, click here.

* Required Fields