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.

Request Prescription Refills
  • 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

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How we helped our patients feel better.

  • Leslie Wecksler & Pat Daly
    "We are long-time patients of Orlin & Cohen orthopedists and treated at Orlin & Cohen physical ...

    Leslie Wecksler & Pat Daly


    Knee Surgery, Hips, Groin, and Hand Steroid Injections, Physical Therapy, Occupational Therapy, Hip, Foot

    Performed By

    Craig Levitz, M.D.,James A. Germano, M.D.,Bennett H. Brown, M.D.,John Feder, M.D.

  • Doug
    "Even after two back surgeries, my days were reduced to living a few short hours at a time before my pain ...




    Performed By

    Daniel Yadegar, M.D.

  • Adriana Dworczyk
    "Dr. Reizner was amazing from beginning to end!!! He was always so attentive and so compassionate! Put ...

    Adriana Dworczyk


    R ORIF

    Performed By

    Wayne Reizner, M.D., M.B.A.

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