Medical Records & Prescription Requests
Medical Records Requests
Any request for copies of Medical Record will be subject to the following terms:
- A Request for Records form must be completed and signed by the legal guardian/parent of the patient
- Patients age 18 and above themselves are legally responsible for completion of forms and the terms associated with the Request for Records.
- A $25 fee will be charged for completion of all other forms: medical leave of absence, disability, repeated requests for forms.
Please call us today or fill out the form below once the request form has been completed.
Prescription Requests & Information
Prescriptions are now sent automatically to the pharmacy of your choice. Please call your pharmacy to request a refill. If you believe your child is in need of a new prescription or a refill please call us today or fill out the form below. Always use the dispenser that comes with the product. Never a kitchen teaspoon. If possible, use weight to dose; otherwise use age.