Carolina Family Practice and Sports Medicine


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Request a Medication Refill

If you are experiencing a medical emergency please call 911 on your telephone.

Refill requests may take 48 hours to process.

Antibiotics, new prescriptions or those prescribed by a provider outside of CFPSM will may not be requested on-line.

Patient Information
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Pharmacy Information
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Pharmacy Phone Number

Prescription Information
Name of Prescribing Provider
Name of Medication
Strength
Quantity
Special Instructions or Comments

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