• Pharmacy Delivery Service Request

  • Do you currently use Amberwell Pharmacy?*
  • Do you live in the city limits?*
  • Are you a current patient at Amberwell Lansing Clinic?*
  • Date of Birth*
     - -
  • Format: (000) 000-0000.

  • Thank you for your interest in Amberwell Phamacy, but at this time we are only delivering within the city limits of the cities listed above.

  • Our pharmacy delivery service in the Leavenworth and Lansing area is available only to patients of our primary providers at Amberwell Lansing Clinic.

    We are accepting new patients! Please connect with us here: https://amberwellhealth.org/locations-of-care/amberwell-lansing-clinic/lansing-new-patient-request/

  • Whose prescriptions do you wish to transfer?*
  • Format: (000) 000-0000.
  • Your Date of Birth*
     - -
  • Where do you go for primary care?*
  • Pharmacy you are transferring from*
  • Do you currently need a refill on any existing prescriptions?
  • Do you have prescription insurance?*
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