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

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What Our Patients Are Saying

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  • JamesDavidesmallfile_150x150_acf_cropped
    "Choosing Dr. Price came about by a combination of events. First, my training facility recommended him ...

    John Davide

    Procedure

    Rotator Cuff Surgery

    Performed By

    Eric Price, M.D.

  • DrBobby_150x150_acf_cropped
    "Passion is not only a gift from God, it is what drives us to be the best. Dr. Price's passion and expertise ...

    Dr. Bobby

    Procedure

    ACL Surgery

    Performed By

    Eric Price, M.D.

  • "I wanted to take a moment to thank the staff, both in Massapequa and in Merrick, for helping me to rehab ...

    Raymond Stambouli

    Massapequa, Merrick

    Procedure

    Physical Therapy

    Performed By

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Please fill out the form below. We will respond within two hours during normal business hours. To request a follow-up appointment, click here. Prefer to speak to a person? Call 516.536.2800.

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