If you take more than one medication, please fill out one form for each.

Refill Requests 

Phone: 706-548-8697
Fax: 706-548-8698


A fee of $20.00 will be charged to the patient for medication refills required because of missed or rescheduled appointments and early refill requests.

Please be sure to speak with a member of the pharmacy's staff, the online RX systems are not always accurate.
 
Patients must have a follow-up appointment to receive a refill. If a patient has not seen Dr. Prowell in 6 months, a prescription refill will not be written until the next scheduled appointment.