Please call your pharmacy and have them fax a refill request to our office:
Our fax number is: 704-480-0010
Monday-Thursday 8:00 a.m.- 5:00 p.m. Friday 8:00 a.m.- 12:00 p.m.
If you think you may run out of your medication within the next three days, do not use this form. Please call our office at
Please allow at least 24 hours
Note: Prescriptions cannot be refilled during the weekend or holidays as we need to have access to your medical record in order to refill your medication.