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. Please note that e-mail is not continually monitored, if this is an urgent request or you don't hear from us within 24-48 hours, please 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.