Refill Request

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If you are experiencing a life-threatening medical emergency, please call 911 immediately or visit the nearest emergency room. Do not wait for a scheduled appointment or attempt to drive yourself to a hospital if you are facing a critical health crisis.

Certain Refill Requests may not be processed without an appointment with the Provider.

For controlled medications, it is a requirement for patients to schedule an appointment with Mid Cities Psychiatry before a refill can be issued.
For non-controlled medications, if it has been three months or more since your last appointment, it is a requirement for patients to schedule an appointment with Mid Cities Psychiatry before a refill can be issued.
For non-controlled medications, refills will only be prescribed until the patient’s next appointment. The patient needs to make sure to have an appointment with the provider when submitting a refill request.
The provider retains the right to deny the Refill Request pending toxicology results and they have the right to request an appointment with a patient before processing a Refill Request.

Please allow at least 5 Business Days to process refill requests. There’s a $25.00 charge to process a refill request in less than 5 Business Days.
Refill Requests will be processed for:

Patients that complete the following Refill Request Form
Pharmacies that submit an electronic Refill Request or Fax at #855-295-2686 on behalf of a patient

For questions and/or concerns about the Refill Requests, please feel free to directly send a secured message to the provider’s Medical Assistant by clicking the Patient Portal below.

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Please click below to log in to the Patient Portal and request a refill. New users must create an account.

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