Prescription Refill Request Form
Prescription refill requests will only be considered for patients/clients who have an established medical relationship with our clinic within the last 12 months. Submit a prescription refill request by filling out the form below. If you have any questions, please don’t hesitate to give us a call at 780-542-2144.
IMPORTANT: Prescription orders are not confirmed until you have received notification. A staff member will contact you by phone or email.