Order Refills 2017-02-10T09:14:22+00:00

You can order your refills through this form below or via the Patient Portal link in the top navigation menu.

  • To use our patient portal, an account must be created by our staff. Visit one of our FMC locations to sign up.
  • OR, you can fill out the form below in its entirety and double-check your RX number to ensure accuracy.


Order Refills Form