Please only complete this form if you have NOT already requested a refill of your medication using the Medication Refill Phone Line.
All patients must have a follow-up appointment in order to process your request. If you do not have a follow-up scheduled, please call our office at 860-886-1508 OPTION 2 to schedule one.
Please note, requests are checked Monday-Friday. Anything after 4pm or on a weekend or holiday, will be completed on the next business day. Please allow 48 hours to process the refill; also please keep in mind your prescribers' office schedule when requesting a refill.
If this is an emergency, dial 911 or go to your local emergency room.