Refills - Taylors Pharmacy

Welcome to Taylors Pharmacy Online Refills

Instructions: The form below may be used
for Human or Veterinary refills.
Thank you!

"*" indicates required fields

1. Is this refill for yourself or a pet?*

2. Patient Information*

First Name Last Name

2. Patient Information*

Pet Name Species

2b. Owner Info*

First Last

2c. Any Known Allergies?*

3. Primary Phone*

4. Alternative Phone

5. Email Address*

6. Delivery Info*

FREE Standard Shipping Compound Medications

Local Pick-up (FREE)

Local Delivery (Winter Park & Maitland, FL ONLY)

Please choose a shipping option below.
NOTE: Additional shipping charges may occur if any of your refills require refrigeration or must remain frozen during shipment. A Taylors Pharmacy representative will contact you if either of these apply.

Delivery Address*

Street Address Apt, Street, or Unit # City State ZIP

Shipping Address*

Street Address Optional Line 2 City State ZIP

Pick-up Location & Times acknowledgement*

I acknowledge the pick-up location and available pick-up times below:

306 South Park Avenue Winter Park, FL 32789

Phone: (407) 644-1025

Hours of Operation: Mon-Fri 9:00 am to 5:30 pm
Saturday 9:00 am to 1:00 pm
Closed Sunday

Refill Information

Note: If there are no refills remaining on your prescription, we will contact your doctor for a refill authorization.

Rx #1*

Rx #2

Rx #3

Rx #4

Rx #5

7. Comments or Special Requests

8. Would You Like to Enroll in AutoRefill?

Auto-Refill is an opt-in program that patients can join to have their prescriptions refilled automatically. Eliminating the need to call or even request a refill! We take care of the whole process for you.

I would like to enroll in auto refill

AutoRefill Policies*

I have read and agree with the auto refill policies

Please review the Autofill policy before signing up for our autofill program

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