Prescription Refill

Request a Refill For Your prescriptions

Please fill out the form below to request a refill for your prescriptions. You can request up to three prescriptions refills per form submission. For additional refills – first submit the first request – then submit a second request to fill more than 3.

Please allow one week to verify prescription refills. Alternatively, you may ask your pharmacist to contact us for refills.

!
!
!
!
!

Prescription #1

!
!
Prescription #1 - Strength Type

Prescription #2

!
!
Prescription #2 - Strength Type
!

Please do not submit any Protected Health Information (PHI).

Environmental Health and Allergy Center

Address

522 North New Ballas Road, Suite 392,
Creve Coeur, MO 63141

Office Hours

Monday  

10:00 am - 6:00 pm

Tuesday  

10:00 am - 6:00 pm

Wednesday  

8:00 am - 4:00 pm

Thursday  

10:00 am - 6:00 pm

Friday  

Closed

Saturday  

Closed

Sunday  

Closed