Other Medication Request

Please use this form is you have a medication request refill for the D.O.D., or if you have any special requests. Then fill in this information and send it to us. We will process this request or contact you for more information.

 

FOR ROUTINE MEDICATION REQUEST REFILLS

For routive refills, please contact your pharmacy and they will forward this request to us. We will respond to the pharmacy request within 24 hours. The pharmacy should then notify you when the prescription is ready.

 

FOR MEDICATION CHANGE REQUEST

Please complete our Rx Change Request form to submit your request to your provider.

 

FOR OTHER MEDICATION REQUESTS

For a DOD refill, or a special medication request, please complete our
Other Rx Request form.

MISSION

The mission of Annapolis Family Medicine is to promote the health and well-being of the community’s needs by providing accessible high-quality medical care for people of all ages.

OUR LOCATION

Annapolis Family Medicine
104 Ridgely Ave, Ste 302
Annapolis, MD 21401

T: 410-280-9500
F: 443-214-5168

All office visits are by appointment only

OUR HOURS

Business Hours

Monday: 8:00AM - 5:00PM

Tuesday: 8:00AM - 12:00PM, 1:00PM - 5:00PM

Wednesday: 8:00AM - 5:00PM

Thursday: 8:00AM - 5:00PM

Friday: 8:00AM - 4:00PM

All urgent calls during closed office hours can be directed to the Hospital Operator and the on-call provider can be called. If the phones are not working, you can call the Hospital Operator at 443-481-1000 and they will page your on-call provider.

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