Please complete the secure form below and press submit. If there is a problem with you refill request or we require more information from you, we will contact you by phone. All requests will be processed within 24 - 48 hours during regular business hours, Monday - Friday, 8:00 am - 5:00 pm, excluding holidays. If you have any questions please contact our office.

**Please note: Controlled substances cannot be called in. These prescriptions have to be picked up by the patient.