Please complete the following form to request a refill.

When would you like your medication prepared for pick-up?
We will review your refill request and confirm its approval as soon as possible. E-mail is not continually monitored, please note that if this is an urgent request it is best to call our office directly at 434-525-2111. Online refill requests can take up to 24 hours to be received, be approved and filled. Thank you for your patience.