Forms & Rx Refill Request

Prescription Refill Requests

This prescription refill service is ONLY for refills without any changes from your child's prior prescription. New prescriptions will require a call to our office and, in most cases, will require a visit to your child's doctor.

This prescription refill service will be checked twice per day (Monday through Friday). Requests received over weekends or holidays will be processed on the next business day. Please allow 72 business hours for your request to be processed. Be sure to complete all information on the form to ensure proper service.

Please call the pharmacy before picking up your prescription to ensure that the request has been filled. If your pharmacy has not received the prescription, please call your doctor's office.

Please be aware that if you leave a prescription refill for a controlled substance (such as Adderall, Focalin, Concerta, or Ritalin) the prescription CANNOT be called in to the pharmacy, but will be written and will be available for pick up after 72 hours. This time period allows the nurse and physician to review your child's chart to insure that all is in order for the refill.

To begin filling out the Refill Request Form, click on the appropriate link below:

Alabaster Patients: Click Here for Prescription Refills
Brook Highland Patients: Click Here for Prescription Refills
Hoover Patients: Click Here for Prescription Refills

Disclaimer: This Rx Refill Form is to be used for your convenience for Children's of Alabama informational purposes only. The information contained in this message is being stored in a secure database.