Prescriptions

Please request prescription refills during office hours and allow us 24 hours for your request to be completed. Some prescriptions must be written such as Ritalin, Adderall, Clonidine, and Concerta Metadate CD and are not allowed by law to be called into a pharmacy. They must be provided to the pharmacy in a printed form.

Please note, we do not refill medications after office hours (call before 4:30 PM during office hours).

On-Line Refills

This is a new service offered by our practice on a trial basis. We hope this will be a value for our patients. As it is a new service, we will be monitoring it closely to best serve you.

Important Facts/Rules:

This is the internet - we cannot assure confidentiality -- if you have an issue you feel is confidential please do not use this means to meet your child's needs.
Please know that our staff as well as the MDs may be reviewing your request.
This feature is for non-emergency, non-urgent request -- the requests are reviewed once daily.
If you have not received confirmation of your request by email within 2 working days, please contact the office by phone.

Patient Name
First	Middle	Last
Patient's DOB	Sex		MaleFemale
Primary MD
Daytime Phone (including area code):
Your email address:
Medications requested for refill:
Medication Name	Dosage - ie # tabs/tsp of med/how often




Check here if you wish to pick up your prescription from our office:
If you wish us to call in the prescription to your pharmacy, please enter your pharmacy name and telephone number		Pharmacy Name
		Phone
Additional comments:











Enter the code shown above
Submit