Prescription Refill Form

/Prescription Refill Form
Prescription Refill Form2018-03-06T13:13:38-07:00

Prescription Refill Form

  • Date Format: MM slash DD slash YYYY
  • Prescription Refill Note: Once you submit your request, we will contact you within 2-3 business days to let you know the status of your refill.

  • This field is for validation purposes and should be left unchanged.

Contact Info

3006 Esplanade, Suite I, Chico, CA 95973

Phone: 530.345.7979, Toll Free-866.586.4633

Fax: 530.345.9797