This section allows you to
request a prescription refill online. If you
believe that you have an emergency, immediately
call 818-784-8481 for an appointment, or, if
truly warranted, dial 911.
Please be aware that one of the purposes of
an appointment is to ensure you have enough
medications until your next scheduled visit.
Anticipate any refill needs and discuss during
the office visit. Calling in a refill is considered
a courtesy needed when unexpectedly appointments
are changed or due to recommended medication
adjustments. In order to continue to prescribe
a medication, the doctor needs to see you in
person to review progress, side effects, update
labs and potentially make additional adjustments.
Bear in mind that this is for your safety.
Often, it is not advised that a patient abruptly
discontinue medications, so an occasional request
to refill a medication will be authorized when
appropriate. Requests for refills may take up
to 72 hours and are not done on weekends or
holidays unless an emergency, so patients should
plan accordingly. Patients not seen for over
4 months will need to be seen before medications
can be refilled. Frequent requests for refills
without being seen in the office may result
in a $50 charge or discontinuation of services.
Please complete the following form and an office
representative will follow up with you regarding
your request. Please note that:
A secretary will contact
you within one working day regarding your
request, between 8:30 am and 4:30 pm.
Depending upon the time
of your online request, the secretary might
contact you on the next business day.
You are hereby advised
that information transmitted online via
this form cannot be guaranteed to be secure.
Online communications are subject to interception
by third parties who may be under no obligation
to keep such communication confidential.
Thus, do not transmit sensitive or confidential
information via this form. You may, alternatively,
contact us at 818-784-8481 to inquire about
your prescription refill request.
Refill Request Form