Rowan Tree Medical, P.A.

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This form is for existing patients to request prescription refills.
Refills may take up to 48 business hours to process. (Office closed Sunday & Monday)
Medications requiring prior authorizations may take longer to process.
We may need to contact you regarding your request.
Paper (hardcopy) prescriptions will be given to patients for mail order refills.
We reserve the right to decline certain requests without an office visit.

    Refill Request Form

    Examples: 25MG, 0.5MCG, 2%):
    Examples: twice a day or at night
    MM/DD/YYYY Format
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    By selecting yes, you agree that a paper prescription will be issued.

    By selecting yes, you agree that a hardcopy (paper) prescription will be issued. We will notify you when ready for pick up. It is the patient's responsibilty to submit refills to mail order pharmacies.

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New Prescriptions

Please call to make an appointment if you are requesting new medication prescriptions.

Prior Authorizations

Prior authorizations are being increasingly required by insurance carriers. In an effort to control costs, carriers necessitate that physicians provide “proof” that patients need certain medications. This is usually done through supplemental forms or additional phone calls. The end result, unfortunately, may be a denial or longer wait time for a medication. We realize this can be frustrating for our patients, but the extra time required for these processes is tremendous. As we try to assist everyone with their individual medication needs, please be patient if your particular drug requires prior authorization.
 

Controlled Substances

Persuant to  Florida State Legislative Bill CS/CS/HB 7095 (effective July 1, 2011), our physicians can no longer write prescriptions for certain controlled substances. If you need pain medications, you will be referred to Pain Management.  These rules apply to NEW and EXISTING patients. If you have any questions about these rules, please speak with the office manager or your doctor.