Medication Refill Request
Use this form to request a refill for an existing prescription. Please allow 1–2 business days for processing.
Frequently Asked Questions
How long does a refill take?
Please allow 1–2 business days for our team to review your request and respond with next steps. Not all requests can be filled immediately—some may require provider review or a follow-up appointment.
What if I need it urgently?
Please submit refill requests at least 1 week before your medication runs out.
For urgent needs:
• Call our office directly during business hours
• If after hours, contact your pharmacy to request a temporary refill or visit urgent care if appropriate
This form is not monitored for urgent requests.
Do I need an appointment?
Some refill requests require a follow-up visit. Our team will review your request and contact you within 1–2 business days if an appointment is needed.
Can I request a new medication here?
No. This form is for refills of current or previously prescribed medications only.