(248) 647-9860

Patient Service Desk 

Prescription (Rx) Refill​

Submit the following form or contact the prescription line at (248) 647-9860x1303.


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 aditional processing time.)


It is important to carry a list of your medications. print this medication/Allergy inventory list.



SUBMIT PRESCRIPTION (Rx) REFILL FORM

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





35046 Woodward Ave Ste 100

Birmingham MI  48009-0932

f (248) 647-9864

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