HealthDimensions Specialty Pharmacy

Health Dimensions, Inc.

39303 Country Club Dr., Suite A-26
Farmington Hills, MI 48331
Phone: 248.489.1573 or, 800.836.2303
Fax: 248.489.1586
Email: info@healthdimensionspharmacy.com


 
Refill your prescription quickly and easily by email! Simply fill out the form below. Items with an * must be completed for your order to go through properly.
 
 
Patient Name:*
Prescription #s:  
   
   
Refill for:




Phone Number on File:
Daytime Phone:*
Email Address:*
   
  Notes or Special Instructions:
   
Delivery Methods:   
Pickup:
Ship: 






   
     
   
   

Note:
Shipping charges will automatically be charged to your account based upon shipping method selected. If no method is selected, prescription will be sent via US Mail.
 
     

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