Prescription Refills

Be careful; don't run out of medicine before you make your request. Please allow 24 hours or one business day for the refill to be called into your pharmacy.


Friday afternoon and Saturday requests will be filled by 5:00 p.m. on Monday.

Family information

Please fill in all fields unless indicated by (optional)

Patient Information
Parent Information
Medication Information
  1. ADHD prescriptions must be picked up.
  2. Mail order prescriptions must be picked up.
Medication One
Medication Two
Medication Three
Processing Information