Center for Pediatric Medicine Prescription Refill Request

Please complete the following patient information to request a prescription refill. Please allow 2 business days for completion of requests. If you have questions regarding requests already placed, please call (864) 220-7270 for more information.
Please note: This request form is for established patients only requesting refills on existing prescriptions.
If you would like the prescription called or faxed directly to the pharmacy, please fill in the following information.