Prescription Renewal -- OBGYN of Lancaster PA

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Renewing Prescriptions
through OBGYN of Lancaster

In some cases, an office visit is required in order to renew a prescription. But when a visit is not necessary, OBGYN of Lancaster patients can contact their pharmacy directly or take advantage of our convenient online system for requesting prescription renewals. Simply complete the form below or call us at 888-393-1338.

* Required fields

*Patient first name:

*Patient last name:

*Patient Date of Birth: (mm/dd/yyyy)

*Name of Medication:

*Medication Dosage:

*How often do you take this medication?

To avoid possible adverse drug interactions, list
other medications you are currently actively taking:
None, or list:

*Are you pregnant?

Yes No Unknown

*Pharmacy name:

*Pharmacy telephone number:

Pharmacy address:

*Do you need a written prescription for a mail-order pharmacy?

Yes No (If yes, the prescription will be mailed to your home address.)

*Home phone:

Work phone:

Cell phone

*Would you like a confirmation call/message left?

Yes No

Comments:

Terms & Conditions
Your prescription request will be processed within 48 hours, during normal business hours, Monday through Friday 8:00AM to 4:30PM except holidays. Please contact your pharmacy directly prior to picking up your prescription to confirm it is ready for pickup. OB-GYN of Lancaster, Inc., its physicians, and its staff will be held harmless should your request not be transmitted due to technical problems.

Please Note: You must agree to the terms of this agreement to continue. If you do not accept these terms, you will not be able to process your prescription requests online. Should you have any questions, please contact us directly at (888) 393-1338.

You can also use our website to:

Download patient care forms

Request an appointment

Obtain test results

Patient Information Resources