Obstetrics and Gynecology Associates
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We offer preventive, diagnostic, and acute patient care.












General Contact | Prescription Refill Request

Prescription Refill Request

All fields are required.
Name*
DOB* / / (mm/dd/yyyy)
Phone Number* () - ext.
Name of Drug*
Dosage*
Name of Pharmacy*
Pharmacy Telephone Number* () - ext.
Quantity*
  • This service is for refills only.
  • We shall try to fill your prescription as soon as possible within 24 business hours.
  • All e-mails received after 4:30pm or weekends will be filled the next business day.
  • Prescriptions cannot be filled for patients not seen within the last 12 months.


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