Slider - Brustsprechstunde - Rand
GET IN
TOUCH
WITH US

Order refill prescription

If you are a patient of my office you can request a refill prescription online with this form.

Please understand that due to confidendiality concerns medical advise cannot be given via the internet or email. The prescription will usually be available for pickup at the office within 12 hours after your order (during normal office hours).

* Required Fields

I have read and understood the terms of use.

Terms of Use:

By requesting an online prescription refill you are agreeing to the use of your personal data for processing and documentation. We cannot assume any liability or responsibility for the security of your data within the internet.

Please note that a new prescription requires a prior consultation in the office. Please call for an appointment.