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The Medication Refill Requests Form is for the convenience of our current patients. This helps minimize phone calls and allows our office staff to attend to your needs while you are in the office.  Repeated medication refill requests will not be authorized.

Additionally, patients who have not been seen in the office for a long time or who frequently miss their appointments may not be provided with refills. We do not fax prescriptions to mail order pharmacies nor do we fax or call in prescriptions to some local pharmacies that frequently have busy phone/fax lines.

Note: Please allow your provider up to 48 hours to process your request.

Refill requests will not be fulfilled unless you have your next appointment scheduled.

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