Refill Request Form

PRESCRIPTION REFILLS

Refill Request Form

BVIHSA Pharmacy offers online pharmacy refills, Whatsapp refills (284) 440-1726 and dropoff at the Dr. D Orlando Smith Hospital pharmacy.

PHARMACY HOURS
Monday – Friday: 8:30 am – 4:00 pm

WhatsApp (284) 440-1726 and Online refill requests are only available for prescriptions that have refills remaining at BVIHSA Pharmacy. If you require a new prescription, please contact your physician.

You can pick up your refill at the pharmacy on the ground floor of Dr. D Orlando Smith Hospital; if submitted on a weekday, it will be ready the next day, while submissions on Friday or over the weekend will be prepared for pickup on Monday.

Please contact the Pharmacy at (284) 852-7556 or (284) 852- 7659 if you have any queries regarding your medication.

Please Note:

The original prescription must be presented when collecting your medication.
Be sure to include your full name and date of birth.

Refill Request Form

First Name *
Last Name *
Email *
Phone
Date of Birth *
Upload NHI Card / Other Insurance Card / ID

Click or drag a file to this area to upload.

Insurance Last Medication

Refills
Medication Name
Prescribing Doctor

Comments

Medical Services

Psychiatry

Primary Health Care

Iris O'Neal Medical Centre

Refill Request Form

Refill Request Form

First Name *
Last Name *
Email *
Phone
Date of Birth *
Upload NHI Card / Other Insurance Card / ID

Click or drag a file to this area to upload.

Insurance Last Medication

Refills
Medication Name
Prescribing Doctor

Comments

Refills

ABOUT

CARE

PATIENTS & VISITORS

RESOURCES