Prescription Request / Food Refills Form

Save time during your next appointment! Complete your required forms online from any device at any time before your visit.

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Prescription Request / Food Refills Form

Note: If your prescription needs to be filled at an outside pharmacy, please contact them directly as they often have refills on file and can expedite your request.

Note: If you'd like us to arrange for your refill to be shipped to your house through our online pharmacy, please confirm your email address here and expect an email with a link to order within 1-3 days.

Note: All requests are processed within 1 business day. If you have an urgent same-day request, please call us at (503) 968-6000.