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Online Prescription Refill Request

Terms of Use


This service is only available to current patients of Pediatric ENT Associates.

By agreeing to the terms of our Online Prescription Refill Request form, you will enter a secure area of our site. Pediatric ENT Associates will not be held responsible in the event your electronic message is not transmitted due to technical problems related to this site or to the hosting server. All personal identifying information is encrypted and your message will not be internally or externally forwarded to other third parties. The information will solely be used by Pediatric ENT Associates.

Your prescription request will be processed within 24 hours, during normal business hours, Monday - Friday, 8:30 am - 4:00 pm, excluding holidays. From the email address provided in your request, you will receive an email confirmation that the refill was called into your pharmacy. If you do not receive an email within 1 full business day, please contact the office by phone.

If you do not accept the terms of this disclaimer, you will not be able to process your prescription refill request on-line. 

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