Your prescription request can take up to 48 hours. Requests on weekends will be filled within 48 hours starting the subsequent Monday.

*** If you need an emergency refill, please call our office at 703-330-8809 ***

 

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Prescription Refill Request

Please supply the following information from your previous prescription. Your prescription will be ready within 48 hours after you send the request (note weekend exception to the right).

   

 

You may refill up to three medications per form:





 

Additional Comments

*** If you need an emergency refill, please call our office at 703-330-8809 ***