Refill a Prescription

To request a refill on your active prescription, please: 

Refill Request Form

For established patients medication refill only.  For appointments please call 216-927-9900.

    Please select the medication you would like to refill:



    Privacy Notice: Please do not include any sensitive medical information, insurance details, or personal health history in this form. This form is not encrypted and is not intended for the transmission of protected health information (PHI). For questions about your medical history or treatment, please call us directly at (216) 927-9900. View our HIPAA Privacy Policy.

    Our Hours

    Monday 8 AM–5 PM
    Tuesday 7 AM–6 PM
    Wednesday 7 AM–6 PM
    Thursday 7 AM–6PM
    Friday 8 AM–1 PM
    Saturday 8 AM–12PM
    Sunday Closed