Prescription Refill Requests

*Form coming soon.

Now you can request refills for your child's medication through our website portal! It's easy, convenient, and only takes a few minutes.

In order to process the request, we must have the following information:

• Patient's full name
• Patient's date of birth
• Name and strength of medication
• How often the child takes the medication
• Pharmacy name and phone number

You will receive a confirmation email once the request is processed.

Please note that it will take 48 hours to process the prescription refill, and requests made on Friday will not be available until the following Tuesday. If you need a prescription sooner than 48 hours, or if you have questions regarding your child's prescription, we ask that you call our office at (205) 879-7888.