PROVIDERS FOR HEALTHY LIVING
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Request a Refill

Complete this form to request a medication refill.  Please allow 24 hours for processing.

BEFORE COMPLETING THIS FORM, PLEASE CALL YOUR PHARMACY TO SEE IF THERE IS A REFILL ON FILE AVAILABLE TO YOU.  IN ABOUT 85% OF CASES, PATIENTS HAVE A REFILL WAITING AT THE PHARMACY THAT COULD BE FILLED, IF REQUESTED.  CALLING THERE FIRST WILL SAVE YOU TIME.  THANKS!
We are currently providing TELEHEALTH visits (online/virtual visits) during the COVID-19 pandemic.  All insurance companies (private and Medicaid) cover these therapy, medication, nutrition, and psychological testing visits with the same cost share (copays, deductibles, or coinsurance) as in-person visits.  These online visits are convenient, safe, effective, and easy to navigate.
Refill Request Form

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locations:


​Hilliard - 3535 Fishinger Blvd, Suite 110

Hilliard - 3931 Trueman Blvd

Gahanna - 540 Officenter Pl, Suite 160


​Lewis Center - 8351 N. High St, Suite 155
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Phone:


614-664-3595 (phone and fax)
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Email:


​Please DO NOT use this email address for medication refill requests or for emergency situations.

Click here for refill requests instead of using email:
Medication Refill Request Form

If you have a medical emergency, email is never the appropriate way to communicate your needs, and you should instead call 911 or go to the nearest ER.  If you are having suicidal thoughts and need to speak to someone immediately, you can contact Suicide Prevention Hotline at the number (and link) below.
​PATIENT@PROVIDERSFORHEALTHYLIVING.COM

​
Communications via email are not secure.  Although it is unlikely, there is a possibility that the information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed.
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2019  |  Providers for Healthy Living  |  All Rights Reserved
  • Home
  • Virtual Visits
  • About Us
    • Our Services
    • Our Teams
    • Our Locations & Addresses
  • For Patients
    • Insurances Accepted
    • Become a New Patient
    • New Patient Information & Forms
    • Current Patient Information & Forms
    • Request a Refill
    • Buy Nutritional Supplements and Protein Products
  • For Professionals
    • Refer a Patient
    • Refer a Student for School-Based MH Services
    • Attend or Present an Online Training
    • Find a Job or Internship
    • Insurance Information
  • Make a Payment
  • Our Blog