Prescription Refills - Current Patients - Waypoint Wellness Center

For any UNPLANNED refill request you will be subject to a charge of $25. (Examples of unplanned refills are lost prescriptions, missed appointments due to no shows or not scheduling, leaving a prescription at home during a vacation, etc.) Otherwise, there is not a charge for refill requests outside of an appointment.

For MEDICATION CHANGES made outside of an appointment, you may be subject to a fee of $50-$100.

Patient of(Required)

Patient Name(Required)

First Last

Contact Name(Required)

Email Address(Required)

Phone(Required)

Medication Name(Required)

Current Dosage(Required)

Pharmacy Name(Required)

Pharmacy Phone

Weight (Required if under 19)

Height (Required if under 19)

Date of Next Scheduled Appointment(Required)

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