Request New Prescription Online - Pharmacy - Gilbert Drugs

Request New PrescriptionGilbert Drugs2021-05-17T22:23:12+00:00

To request a new prescription from your health care provider, please complete and submit the form below. If you need new prescriptions on more than 3 medications, please submit another request. Online prescription requests will be checked twice daily (at 10 am and 3 pm) during business days. We will contact your doctor and make every attempt to have your prescription(s) ready as soon as possible. Please provide a current telephone number where you can be reached during business hours in case your doctor denies the new prescription request.

Request New Prescription

Please do not use this form for paper written prescriptions and Schedule II Controlled Substances *

1. Patient Information

First Name *

Last Name *

Date of Birth *

Phone Number *

2. Doctor Information

Doctor's Name *

Doctor's Phone Number *

3. Prescription Request

Medication 1 Name *

Medication 1 Dosage *

Medication 2 Name

Medication 2 Dosage

Medication 3 Name

Medication 3 Dosage

4. Upon Doctor's Approval

Pick-Up or Delivery? *

Pick-UpDelivery

Should we notify you when your prescription(s) is/are ready? *

* Schedule II Controlled Substances require a new written prescription for every fill due to federal regulations and cannot be ordered online or approved over the phone.

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Mission Statement

Our mission is to help people keep well in body, mind and spirit by providing quality pharmaceutical care services in a compassionate environment and to be the leading area provider of home health and institutional products by demonstrating our commitment to excellence in customer service as a reliable partner to the health care community.

Our Team's Philosophy

Our team’s philosophy is focusing on individualized and personal care. We know our customers on a first-name basis, and take the time to listen to their health concerns. Our team of experienced professionals and skilled technicians will competently and effectively work with your specific needs to help you make educated decisions about what treatment is best for you.

Commitment To Your Health

We promise to work with you to achieve the best possible results by optimizing compliance with your medication regimen and by providing the highest quality of pharmaceutical care. Our goal is to enhance your quality of life by being your trusted partner in wellness.

Monday	9:30 am – 6:00 pm
Tuesday	9:30 am – 6:00 pm
Wednesday	9:30 am – 6:00 pm
Thursday	9:30 am – 6:00 pm
Friday	9:30 am – 6:00 pm
Saturday	9:30 am – 4:30 pm
Sunday	Closed

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