• Prescription Refill Request

  • Effective immediately


    We will not be honoring pharmacy refill requests. This is due to the increasing discrepancies from several pharmacies. This includes both Fort Wayne Integrative and Primary Care patients.

    This includes all pharmacies


    If a refill is required, the patient must contact our office directly. Please note that some refills will require an office visit.

    We apologize for any inconvenience.


    Patient Name:        
     
    Patient Signature:    
      
    Date:   Pick a Date   


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