Medication RequestS

NOTE WE HAVE UPDATED OUR FORMS AND PROCESS FOR REQUESTS as of 2/25/25

Use the link(s) below to order medications. The form will allow you to sign up as a new patient and to place orders for new and existing patients.

Weight Loss Request forms are to order medications to be delivered to your home.

General Request forms, are to make requests for medications to be sent to your local pharmacy.

Please contact us if you have questions about the process or medications.