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.

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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Our offices across Long Island are open for in-person visits with new protocols for immediate, personalized care in the safest possible environment.

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    Performed By

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

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    HF10

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

    Adriana Dworczyk

    Procedure

    R ORIF

    Performed By

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

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