Medication
Refill Request
This
form cannot be used for ADD/ADHD refills.
This
form is for refill of medication only. You must be a
current patient of Northwest Pediatrics. Your prescription
will be called in by 6:00 p.m. (assuming you sent the
form during our business hours: 8:00 a.m. – 5:00
p.m. Monday through Friday). Any form sent after 3:00
p.m. will be considered next business day. Please call
your pharmacy before picking up your prescription to
ensure it is ready.
E-mail
responses can take up to 24 hours or longer if we would
receive your on-line form during the weekend.
If
you require a prescription filled sooner, please call
614.766.6321 for the Dublin office or 614.457.6461 for
the Upper Arlington office during our business hours.
Please use our on-line refill form to request your refill.
