1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Select the "Message a Doctor" feature to request a form.
Click the "New Message" link
Choose "The Office (General Inquiries)" from the "Message To" dropdown menu
Choose "Other" in the Subject dropdown menu
In the body of the message, detail the form you wish to be completed, how you would like to receive the form (pick-up, mail, fax), and phone number where you can be reached for any questions. Please provide a mailing address to have the form mailed or a fax number if you would like the form to be faxed. Remember there may be a waiting period for all forms. You will receive a response in your portal account inbox when the form has been completed.
Click "Send Message" to submit your form request
Login to your portal account and click the Rx Refill box.
Scroll down to the medication you wish to refill, and select Refill.
Select your prescribing provider from the dropdown menu
Type a message to the provider, if applicable.
Find and select your preferred pharmacy.
Click the "Request Refill" button to submit your request.
Select the "Message a Doctor" feature to begin your message
Click the "New Message" link
Choose your provider from the "Message To" dropdown menu
Choose a Subject from the dropdown menu
In the body of the message, please provide the patient's name, date of birth, a phone number where you can be reached for any questions, and a brief, detailed description of your question or comment.
Click "Send Message" to submit your form request
You will receive a response in your portal account inbox
Your child may have reached 14 years of age and will need to consent to your access of their account. Please view our HIPAA section for more information.
If this is not the case, and you cannot view your child's information, please contact our office for troubleshooting.