Prescription Refills

Notification

Need a Prescription Refill During Downtime?
Patients may use this form to request a prescription refill during system downtime.

Instructions:

  • Download and complete the form.
  • Attach a photo of your prescription bottle label.
  • Submit the completed form to JPS Pharmacy Services by email at pharmacyrefills@jpshealth.org or by fax at 817-702-6748. Please allow up to 3 business days for refill requests, or up to 7 business days for medications sent by mail.