Prescription Refill Form Template
  • Prescription Refill Form Template

  • Format: (000) 000-0000.
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  • Patients are required to be seen every 6 months for oral medications or 12 months for topical medications in order to receive refills per our office policies. (Specific drugs may require a different time frame and/or other requirements (ie bloodwork) to continue to receive medications.
    If you need to schedule an appointment, please call the office at 443-542-0505.
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    Please note - refills will be sent within 48 hours of your confirmation email. Please do not contact the office unless you do not receive a confirmation email or the 48 hours have passed.

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