Contact
Hours & Directions
Precription Refills
Home
Southampton Patients only:
All questions must be answered.
First Name:
Last Name:
DOB:
E-Mail Address:
Name of Medication:
Dosage:
How often taken:
Pharmacy Name and Town:
Pharmacy Phone #, if not on East End:
Do you have an annual appointment scheduled?:
Yes:
No:
Appointment Date:
Any message or comments:
Submissions will be checked between 8:30 am and 2:30 pm, Monday through Friday. Your request will be submitted to your pharmacy by 4:30 pm the same day, unless we have questions or concerns regarding your request. In that case you will be emailed back. Otherwise, assume that your prescription was submitted to your pharmacy.
Seeing patients in our offices in
Southampton (631-283-0918), Riverhead (631-727-3422)
Copyright 2004 by Hamptons OB/GYN; Photography by Carolyn Conrad; Site by
Hamptons Online