TO REQUEST A MEDICATION REFILL PLEASE COMPLETE THE FORM BELOW.
****NOTE THAT IF YOU MISSED YOUR LAST MEDICATION APPOINTMENT THERE WILL BE A $25.00 REFILL FEE REQUIRED PRIOR TO THE REFILL BEING PROCESSED ALONG WITH SCHEDULING A REGULAR MEDICATION APPOINTMENT.
- Monday-Thursday: Please allow 24 hours for refills.
- Friday-Sunday: Refills will occur on the following Monday.