USE the same Advice APP our Nurses do: NP PEDS MD. Find answers to kids' illnesses, advice for behavior concerns, eating and wellness topics, medication charts, first aid, and more!

ONLY IF THE NP PEDS MD APP DOES NOT ANSWER YOUR QUESTION: Send a Non-Urgent Message or Form Message left will be addressed within one business day [no weekends or holidays].  Please use the form only if you have a non-urgent message that does not require a same-day response. 

Prescription Refill Request Form

Your pharmacy should contact you once the refill is ready for pickup. If you do not receive a text message or phone call from your pharmacy stating that your prescription is prepared, please contact them.

Refills other than ADD/ADHD and any other Controlled Medications that are requested before 1:30 pm will be processed by the end of the business day.  Refill requests received after 1:30 pm will be processed by the end of the next business day and sent electronically to the pharmacy listed in your child's chart.  Schedule and attend the required yearly checkups with a Northpoint provider.  This is essential for monitoring the effectiveness of the medication and ensuring your child's overall well-being.  Failure to make and keep recommended visits will result in no refills prescribed until the patient is seen in the office.

ADD/ADHD and any other Controlled Medication Refills

  1. Allow for Processing Time.
    Recognize that there will be some processing time due to the chart review conducted by the primary physician.  Due to the medication shortage, we can only submit refills for 30 days.  This means you will need to request a refill for each 30-day supply of medication, so plan to ensure that you have an adequate supply.

  2. Find a pharmacy that has your medication in stock.
    Before submitting a refill request, please call and verify that your pharmacy has the medication in stock.  If it does not, please locate a pharmacy that does, and then submit your refill request with the pharmacy's name, address, and phone number where the medication refill needs to be sent.

  3. Schedule Yearly Checkups and Medication Follow-up Appointments. 
    Schedule and attend the required yearly checkups with a Northpoint provider.  This is essential for monitoring the medication's effectiveness and ensuring your child's well-being.  Failure to make and keep recommended visits will result in no prescription refills until the patient is seen in the office.

  4. Attend Medication Follow-Up Appointments.
    Keep up with any additional appointments related to medication management as directed by the primary provider.  These appointments are essential for evaluating the dosage and effectiveness of the medication.

Patient Information
Contact Information
Give first and last names
Use the format 317-555-1212
Use the format MM/DD/YYYY
Use the format 317-555-1212
Give first and last names
No work emails; use personal/home email address only
FOR ADD/ADHD MEDICATIONS ONLY: to avoid multiple delays – please CALL AND VERIFY your pharmacy listed has the medication available BEFORE REQUESTING A REFILL.
FOR ADD/ADHD MEDICATIONS ONLY: to avoid multiple delays – please CALL AND VERIFY your pharmacy listed has the medication available BEFORE REQUESTING A REFILL.