We are pleased to offer online prescription refills for JPS Patients and JPS Employees. Please select the appropriate form and be sure to complete all areas. Double check to be sure you have entered your name, email address, telephone number and prescription numbers correctly. If you are having your prescriptions mailed, be sure the mailing address is correctly entered. If you do not know the prescription number, enter the name of the medication in the prescription number section. If you have questions or need assistance, please call 817-927-3531.

Employee Refill
Patient Refill

Click on the links below for important medication safety information.

1. What you need to know about your medicine
2. Lo que necesito saber sobre su medicamento
3. My Medication Card
4. Mi tarjeta de medicamento
5. My Medical Information
6. Informacion de mi medicamento