Telemedicine Services
Telemedicine Instructions
Our Clinical Staff
Our General Services
Forensic Psychiatry Services
Treatment Resistant Depression Clinic
TRD Clinic Referral Form
Transcranial Magnetic Stimulation (TMS)
Genetic Testing
ADHD Assessment
Insurance Plans
Office Policies
Press & Resources Links
New Patient Paperwork
Prescription Refills

Medication refill requests left via this portal will be electronically sent to your pharmacy within 1 business day of your request.  All refill requests should be made via this website or via phone - please do not email or text refill requests
Per office policy, patients must have a future appointment scheduled or have been seen within the past two months.  Please call the office to make an appointment before requesting a prescription refill.


Please contact your pharmacy after 24 hours of the request to confirm if they have received the prescription(s).


  Rx information:

First name:

Last name:
 * required
 * required
 * required
Clinician Name:
 * required
Rx Name & Dose:
 * required

Rx Name & Dose:

Rx Name & Dose:
Requested by: (Please provide Name, phone #,  and
an email address to be contacted at )





  Pharmacy Information:

Pharmacy Name:

 * required

Pharmacy Phone:

 * required

    Other Information: