Online Medication Refill Request

*** Important Please Read ***

Refill requests can only be processed for patients that have an existing appointment scheduled. To schedule an appointment please reach us directly at 603.689.7977

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Rx(s) Requested
 Rx NameMgs/TabPharmacy
Rx Name 1
Rx Name 2
Rx Name 3
Rx Name 4

Requests are processed within 24 business hours of receipt. For urgent requests please reach us directly at 603.689.7977

Please be aware receiving a refill outside of an appointment can incur a $25 refill fee. Controlled medications such as those for treatment of ADHD, Opioid Dependency, or Anxiety may be restricted at the discretion of your provider. In the event of loss or stolen medications please reach the office directly as documentation may be required.

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