Mercy Health Physician Partners Grand Rapids

Online Prescription Refills

Thank you for choosing our prescription refill service. It's a fast and easy way to refill your non-urgent prescriptions. This form can be used for multiple refill requests.

Please allow up to two (2) business days for your prescription to be completed. Any prescription refill submitted after 3 p.m.
will be processed the following day.

This service is for NON-URGENT PRESCRIPTIONS ONLY. If you have an urgent refill, please call your physician office.

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Yes No known medical allergies


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Please acknowledge that this is a non-urgent request and may take up to two (2) business days to complete. Unless you hear from your office, please check with your pharmacy.