Medication Refill Requests

To request a medication refill, you may do so by filling out the form below, or by calling/texting our office at 203-450-4882×2. Please include the following information below with your refill request. Allow up to 48 hours for Providers to respond to your refill requests. Once you have submitted your request, there is no need to call the office or submit your request again. Repeated requests will not be answered.

Please allow up to 48 hours for Providers to respond to your refill requests. Once you have submitted your request, there is no need to call the office or submit your request again. Repeated requests will not be answered.

Please contact your Pharmacy to find out if your medication refill has been called in and is ready for pick-up. Our office will not respond to requests to confirm that refill requests have been sent to your pharmacy.

Providers are unable to verify medication stock at the pharmacy. In cases of shortages, Patients are responsible for contacting alternative pharmacies.

Refills will not be sent for Patients not actively engaged in treatment with a medical provider at our clinic. Patients who have not been seen in a long time or who frequently miss their appointments will not be provided with refills.

Refill requests cannot be sent to out-of-state pharmacies under any circumstances.

Electronic submission of refill requests is intended to provide an efficient and convenient method for patients. By submitting requests electronically, it minimizes extra phone calls to our office and allows our staff to address your needs during office visits. Please be aware that sending refill requests through our website or by texting the office may compromise your information, as these methods are not encrypted or secure. Patients may always choose to submit refill requests by calling their pharmacy or contacting our office.