Request / Change Prescription

Please fill out this form to request a refill or medication/dosage change.

Prescription Information

Prescriptions, including controlled drugs like Adderall and Ritalin, will be “E-scribed” via computer to your pharmacy within 24-48 business hours. We do not allow early refills on controlled substance prescriptions.

NOTE: Because of new state and federal regulatory laws, prescriptions can no longer be E-scribed or filled at pharmacies outside of Utah.

If you wish to change your current prescription, please describe in detail the reason for the change. All new requests or changes will be carefully reviewed.

We require a Progress Update office visit every 3 months in accordance with accepted ADHD practice guidelines. If Progress Updates are not current or you do not already have an upcoming office visit scheduled, prescriptions may be denied.