FORMULA REFILL REQUEST (ONLY FOR CURRENT PATIENTS OF YAO CLINIC)
In order to complete a request for a formula refill, we require the completion of this form. Please note the following:
- If you have more than one formula that you want refilled, you need to complete this form for EACH formula.
- If it has been a while since you have been seen 3-6 + months and you are asking for a refill for a formula for an illness/condition that was of assistance, we will need to book a consult to ensure the formula is correct for the newest manifestation of illness. We do consider it poor medical practice to refill formulas that are no longer appropriate and therefore we may end up phoning to book a personal consult to update the formula. If you are unsure if the formula can be refilled, please phone us and we will be able to answer this personally 303-777-7891.
- Please note that your formula will be processed in the order it was received and will be organized as quickly as possible.