General Prescription Refills
This form is for existing Vitality Health & Wellness patients requesting prescription refills.
All requests require provider review and approval. Please allow 48 hours for processing. An appointment or updated labs may be required before a refill can be approved.
This form is not monitored for urgent concerns or emergencies. For a medical emergency, call 911.
Please note: Submitting this form does not automatically refill your prescription or place a medication order.
All refill requests require provider review and approval. A medication management fee may apply and is separate from the cost of your medication. If payment is required, an invoice will be sent and must be paid before your prescription is sent to the pharmacy, unless other arrangements have been made.