1990 N. Prospect Avenue
(on Hwy 486 across from Brentwood)
Lecanto, Florida 34461
P: 352.527.6888
driving directions | map our location

Home
Adult Care
Pediatric Care
Women's Care
Medical Weight Loss
Our Providers
Our Staff
Our Facility
Office Policies
FAQ's
Refill Request Form
Appointments
Contact Us
Patient Portal
Refill Request Form

Our preferred way to best refill your prescription is filling out the online form below. This method allows us to capture accurate information and reduce errors. Online refills will be available for pick-up 48 hours after submission (excluding weekends - ex: A refill request submitted Friday Night will be available Wednesday AM for pick-up) and you may obtain an emergency supply for up to 3 days at your pharmacy.

Items marked with an asterisk (*) are required.

Name
Phone
E-Mail
Birthdate
Pharmacy Name
Pharmacy Phone #
Medication #1
Strength
Quantity
Medication #2
Strength
Quantity
Medication #3
Strength
Quantity
Medication #4
Strength
Quantity
Medication #5
Strength
Quantity
Medication #6
Strength
Quantity
Medication #7
Strength
Quantity
Medication #8
Strength
Quantity

Concerns/Questions: