America Academy of Orthopedic surgeons

Orthopedic Research and Education Foundation

What the Doctor Ordered!

If you need to refill your prescription, please call us at (901) 850-1150, or request it online by completing the form below.  Requests received by 3:00 p.m. willl ususally be called to the pharmacy on the same day if approved.  You will be contacted by our office if any additional information is needed, or if the request is denied.

If you have questions about changing your medication or starting a new one, please schedule an appointment with your physician.  If you have an immediate problem related to your medication, please call our office and let the operator know.  


ONLINE PRESCRIPTION REQUEST:
E-mail Disclaimer:  The form on this page is sent through e-mail, which is not a secure method of communication.  Individuals who prefer to avoid all risk associated with this method of communication should contact us by phone or in writing.  Use of our e-mail function shall constitute acknowledgement that one has read this notice and accepted all associated risks.

Patient's First Name
Patient's Last Name
Patient's Date of Birth
Telephone Number
Doctor
Drug to be Re-Filled
Dosage of the Drug
(usually in milligrams)
Pharmacy Name
Pharmacy Phone Number
E-Mail Address
OK to Contact You by E-Mail?YesNo

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