For your convenience please call in refill requests 24 hours in advance before running out of medication.  This way your prescription can be ready for pick up to avoid unnecessary waiting.

Please call our office at (562) 943-3728 or use our new online request form.  As an added convenience, we can also ship refill prescriptions to your home or office.  Additional forms are required to be filled out and additional fees apply for shipment of prescriptions.

Prescription Refill Request Form

For your convenience please call in refill requests 24 hours in advance before running out of medication.  This way your prescription can be ready for pick up to avoid unnecessary waiting. Please call our office at (562) 943-3728 or use our new online request form.  As an added convenience, we can also ship refill prescriptions to your home or office.  Additional forms are required to be filled out and additional fees apply.

Download & Print Form

Ordering by mail?

Click Here to download the Prescription Shipping Agreement

No prescription will be filled without a patient exam in the last 6 months.