All prescription request will need to be verified.

Only current patients of this clinic will be able to request a  refill.

All refills requested over the phone or using this online form will take 48-72 hrs for completion.

Cost for phone or online refill request will be $50.00 + charges.

Payment is required before refills are processed.

If you have not seen the provider in 90 days, you will be required to do so before your prescriptions can be processed.

Prescription Request

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