Medication Refill Requests

You may submit your medication refill  request by using one of the methods listed below:

  • Visit the Patient Portal
  • Call your Pharmacy and ask that they submit an electronic refill request
  • Contact the Clinic with the above information or schedule an appointment

Please have the following information available:

  • Your Name
  • Date of Birth
  • Name of Medication
  • Dosage of Medication e.g. mg or units
  • How often Medication is Taken
  • Name of your Pharmacy
  • Contact phone number in case we have questions regarding your refill

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