Prescription Refills

Please request prescription refills during office hours and allow us 24 hours for your request to be completed. Some prescriptions must be written such as Ritalin, Adderall, Clonidine, and Concerta, Metadate CD, and are not allowed by law to be called into a pharmacy. They must be provided to the pharmacy in a printed form.

Please note, we do not refill medications after office hours (call before 4:30 PM during office hours).

Important Information:

  • If you have an issue that is confidential, please contact our office at 770-814-1160
  • Please know that our staff as well as the MDs may be reviewing your request.
  • This feature is for non-emergency, non-urgent request -- the requests are reviewed once daily.
  • If you have not received confirmation of your request by email within 2 working days, please contact the office by phone.
To request an on-line refill, please fill out and submit the form below:
Patients Name:
  First Middle Last
Patient's DOB Sex Male   Female
Primary MD
Daytime Phone (including area code):
Your email address:
Medications requested for refill:
Medication Name Dosage - ie # tabs/tsp of med/how often
Check here if you wish to pick up your prescription from our office:
If you wish us to call in the prescription to your pharmacy, please enter your pharmacy name and telephone number
Pharmacy Name

Phone
Additional comments:

 






Prescription Refills Suwanee  Georgia  GA pediatrician Pediatrics

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