Request for prescreption
This function is only available
for medication that the CMC has prescribed
for you at least once.
If you have not yet been treated at the CMC
or if you need a new medication,
please make an appointment with us.
Please enter your prescription request
in the form on the right.
We will send the prescription to the address
we have on file for you
or we will contact you if we have any questions.
By sending the form, you accept our privacy policy.
These can be found under
Services>Forms>Privacy Policy