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 8:00 am – 4:00 pm

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

You can pick up your refill at the Dr. Orlando Smith Hospital Pharmacy located on the ground floor the following day.

Please contact the Pharmacy at (284) 852-7500 if you have any queries regarding your medication.

For more information, please visit our Pharmacy page.

Refill Request Form

Birth Layout of

First Name *
Last Name *
Date of Birth *
Email *
Phone *
Insurance *
NHI Number
Other Insurance
Refills
Medication Name *
Prescribing Doctor *

File Upload

Click or drag files to this area to upload. You can upload up to 4 files.

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Iris O'Neal Medical Centre