Prescription Refills

Submit the following form or contact the office at 248-642-7710 during normal business hours.


Allow 48 hours for processing (If this inquiry is for a new or change of prescription it must first be reviewed by your health care provider prior to approval. Allow additional processing time.)


It is important that you always carry a list of the medications you take. Click here to download a medication log (it is a PDF document).



Check with your pharmacy before picking up your Rx to be sure it has been received, processed and ready for pick-up.

Prescription Refill Form

Thank you for submitting. If this is an urgent request, please contact office first. Otherwise, please give up to 48 hours to fill your prescription.