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Refill Request Form:

QUESTION OF THE DAY: How do I request my prescription refills?

A. Step 1: Login to your account and click on the Available Refills tab and see that you have refills remaining.

Step: 2: As your medications become available for a refill, they will be displayed here if you have not elected to receive automatic refills. If you would like to have an available medication refilled, click on the number in the 'Refills Remaining' column. Automatic Refills are sent directly to Patient Service and are never displayed here.

Calling the Pharmacy will not get your refill processed.

 

 

First Name:
Last Name:
Registered Email Address:
If my Refill falls on Saturday? Please send for Saturday Delivery. Additional UPS charges apply.

Yes No

If I am out of refills Please Schedule a Quick Re-Consult. Yes No

 

 

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