Fax Order

If you prefer to order by Fax, please use our Fax Order Form to transmit your prescription information.  For clients requesting a refill, you must include your Prescription Number.

For your convenience, you may either phone, FAX, or submit your prescription CHANGES to us using this form.

For your convenience, you may either phone FAX, or submit your prescriptions to us using this form.

If you are one of our clients and would like to refill your prescription, you may either phone, FAX, or submit your prescriptions to us using this form.