Lexington-Waltham Dermatology

Adult and Pediatric Dermatology

Home

COVID-19

Physicians

Virtual Visits

Forms

Prescription Refills

Recommended Skin Care

Insurance Info.

Make a Payment

Directions

Contact Us

HIPAA

Please allow 1-3 business days for your refill request to be completed.

If the refill request form does not load automatically, please download and complete the pdf file below and email to: info@lwderm.com

Document
Prescription Refill Request
Disclaimer: Please keep in mind that communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and read by other parties besides the person to whom it is addressed. Please do not include personal medical information in any emails you send to us. No one can diagnose your condition from email or other written communications, and communication via our website cannot replace the relationship you have with a physician or another healthcare practitioner.