Prescription Refills 
Request Form 


You can call our Prescription Refill Line at (717) 533-0499 or you can use the on-line Refill Form below. We will email a reply within 48 hours. If your message is sent Friday or over the weekend you may not get a reply until Monday. If you would like us to call you back be sure to select the PHONE option and include your daytime phone.
Prescriptions for controlled substances ( for example, Ritalin, Dexadrine, Cylert ) cannot be called in to pharmacies so you will need to come to our office to pick up the prescription form. Also, requests for antibiotics should be called in to the office since your child may need to be seen to determine the nature of the illness.

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