Primary Care, Haverford

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.

Exceptions:

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

Family information

Please fill in the required fields marked with an asterisk *

Patient Information

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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

My Pharmacy plan allows me a:

Processing Information

Contact Us

Call Haverford

Our Address

600 Haverford Road
Suite 100

Haverford PA, 19041

Fax

610-658-1998

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