Chelsea Internal Medicine

Michigan Hypertension Center

Personal Adult Care with Academic Excellence

  

Prescriptions

We encourage the use of this page for all renewals of prescriptions.  Renewals will be sent to your pharmacy during regular business hours (Hours) 

Your first name:

Your last name:

Birthdate (mo/day/year)19

Your email address

Telephone Number to reach you

Pharmacy Name

Pharmacy Phone Number

Refill Drug #1 

Name

Dosage

How many times a day

Quantity Requested pills or months

Go to the submit button

Refill Drug #2 

Name

Dosage

How many times a day

Quantity Requested pills or months

Go to the submit button

Refill Drug #3 

Name

Dosage

How many times a day

Quantity Requested pills or months

Go to the submit button

Refill Drug #4 

Name

Dosage

How many times a day

Quantity Requested pills or months

Go to the submit button

 

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Questions or problems regarding this web site should be directed to [officemanage.cimMd.com].
Copyright © 2002 [Chelsea Internal Medicine, PLLC]. All rights reserved.
Last modified: 03/09/06.