Prescription Refills and Allergy Vials

Prescription Refills

If you need a prescription refill, please contact our office during regular business hours. On-call physicians cannot give refills for pain medication. Please contact our office during regular business hours.

Allergy Vials

PLEASE FILL IN FORM WHEN REORDERING ALLERGY EXTRACT

Today's Date:
Patient's Name:
Date of Birth:
Reording For:
Date of Last Dose:
Amount of Last Dose:
Date of Present Vial:
Reactions:
Problems or Comments:
Address to Ship new Vial:

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