SIMEDHealth

This form is for prescription refills for the SIMEDHealth Pharmacy only. If you need a refill for another pharmacy, you will need to contact your physician's clinic directly.

HIPAA and PHI Disclaimer

I understand that by submitting my request I may be providing Personal Health Information (PHI) to SIMEDHealth and that this PHI may be viewed by employees or staff of SIMEDHealth.