Medication Refills


For medication refills, please submit the form below.  An automated email will be sent to you for confirmation of receipt.

Please be aware that controlled medications require a face-to-face visit with your provider. Refills can not be made electronically, or by phone.

For urgent requests, please call our office directly at 818-600-1472

Contact Us:   or (818) 600-1472


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Tylenol 325mg every 6 hours, 30 tablets
Metoprolol Succinate 25mg every 12 hours, 180 tablets.
Norvasc 10mg once daily, 90 Tablets