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Available Forms

Prescription Refill Request / Questionnaire

Please allow 10 days for requests on all current medications. **AN APPOINTMENT MAY BE REQUIRED BEFORE REFILL CAN BE SENT - SEE BELOW** For Opioids & Ketamine - Every Month (Updox or phone) Check-Ins, THEN Every 6 Month Appointments (Telehealth or In-Person). For LDN or Other medications - Every 3 - 6 month (Updox or phone) Check-Ins, THEN Every 12 month Appointments (Telehealth or In-Person).

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