This form will send an email to The Light Clinic, PC with the information you
provide below. We will respond as soon as we can that we have processed your request,
or need you contact us before we can proceed. If you do not receive
an answer within 1 business day, please call
our office instead- technology can save us time, but isn't perfect!
If the Doctor has any further questions about your request, he will contact you.
If you need this refill processed in less than 1 business day, please call the
office directly. When we complete your refill request, we will email you a
notification if you have provided an email address, otherwise we will attempt to
call you and let you know.
Even though this form will not be handled after hours or on a weekend, we want
to tell you that for your safety, it is our policy to not call in
narcotic pain medication after hours or on weekends. Severe pain that requires
narcotics should be evaluated by a physician.
Also, ALL controlled substances will now require a written prescription that you
can pick up at the clinic after submitting this form. You can also call us
directly during clinic hours and in either case may be required to schedule a
visit with a physician or nurse practitioner. Also, for your safety, it is our
policy not to call in narcotic pain medication after hours or on
weekends. Severe pain that requires narcotics should be evaluated by a
physician.
Please remember that email communications are not guaranteed to be private.
After receiving them, we handle them with the same attention to confidentiality
we give all your medical records, but email replies may be seen by others with access
to your computer, including your employer, depending on where you send it from
and where you have us reply to.
Thank you.