Request Prescription Refills

Use form below for 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.

  • 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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During this crisis, we're providing on-call care by appointment only for those experiencing orthopedic pain.

Call 516-536-2800 or 631-706-2800 and a member of our orthopedic team will assess whether you need immediate attention.
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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.

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