Prescriptions
Patient Medication and Prescription Refill Guide
Patient Medication Record - Printable (PDF)
Print, complete & bring to your next office visit.
Need to change the dosage of your medication?
- You may be given written prescriptions to take to your pharmacy, or to mail, if you use a mail-order pharmacy. Please do this at your earliest convenience so they do not get misplaced. The pharmacy will keep them on file until you need them.
- Please remember to bring an accurate list and dosages of the medications you are taking every time you come to visit your doctor. Fill out this form for easy reference.
- Seventy-two (72) hours are needed to complete the approval and refill process.
- We now have electronic Prescribing. Please call your pharmacist first if you are in need of a refill.
- If your doctor is out of the clinic, and will not return within 72 hours, your request may be forwarded to a different provider for review.
- Narcotics and other controlled substance medications can only be authorized by your primary provider. Please call 651-653-0062 to leave a note for your doctor if you are in need of a refill.
- First contact your pharmacy directly. Please, do not wait until you are totally out of a medication before calling for a refill. Seventy-two (72) hours are needed to complete the approval and refill process. It is a great idea to call your pharmacy at least one week before your medication runs out.
- Medications cannot be refilled by AALFA Providers on Saturdays and Sundays.
- If the bottle says "0 refills" please call your pharmacy. They will fax us a request for additional refills at 651-653-0288.
- You will be notified if your Provider requires you to be seen before a refill is authorized.
- Do not stop the medication unless you have been told to do so by your doctor. Call your pharmacy for a refill even if it says “0” refills. The pharmacy will contact us for an OK to refill. Your pharmacy can fax requests to us at 651-653-0288.
- You may be required to set up an appointment before your refills can be authorized. Call our office to schedule: 651-653-0062.
- Call our office Prescription Line (call 651-653-0062, ask for the Prescription Line). Be prepared to leave a message with:
- New pharmacy name,
- Telephone number and/or Fax number of the new pharmacy,
- List of medications and dosages
- You may need to be seen for an appointment for any refills, depending on the medication.
Need to change the dosage of your medication?
- Call our office Prescription Line (call 651-653-0062, ask for the Prescription Line). Be prepared to leave a message with:
- Name of current medication
- Current dose and frequency
- New dose and/or frequency you wish to try
- Your doctor will review your request and respond within seventy-two (72) hours.
- You may need to be seen for an appointment for any medication changes, depending on the medication.
- AALFA Family Clinic does not send prescriptions to mail order pharmacies.
- The patient is responsible for mailing their prescriptions according to their mail order pharmacy's instructions.
- Make sure to give yourself enough time to get your medications before you run out.
- Make your yearly appointments in a timely fashion so there is no delay in getting your prescriptions mailed in and refilled. This will help ensure you do not miss any doses of your medication.
- AALFA Family Clinic is not able to sign or complete any Canadian drug program forms. We can give you a written prescription that you can mail or have filled wherever you wish.
Thank you for your cooperation.