If you need a prescription refilled, please use this form so we can arrange it for you. 

2 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Schedule an Appointment

Urgent/Emergency?

If this is an emergency, call 480.436.4970 to set an appointment immediately. You cannot submit this form until you've choosen "no."