Medication Refill Request Form: Patients of Dr. Williamson-Rea

Complete this form to request prescription refills. We require a one week notice for all medication refills.  If you are submitting a form for a refill that is needed sooner than one week from today, delays are likely to occur.  For urgent needs, call our office directly: 412-871-6564. 

Note: Controlled substances and new prescriptions cannot be requested through this form.  Please contact Dr. Williamson-Rea directly in this case, by message on Spruce, or call 412-871-6564, and leave a message on option #2. 

Four medication refill spaces are provided below.  If you need to submit less than four refill requests, just fill out the ones you need, and leave the remaining empty. Be sure to click the red "submit form" button when you are done filling out the form.

If you need to submit more than four medication refill requests, simply fill out this page, click the red "submit form" button, and then open this page again in your browser to continue. 

This form is submitted securely through your patient record, Hint Health. You'll be asked to confirm your phone number or email with a one time code before proceeding.