Thank you for considering using PsychRefills for your prescription refill needs, our mission is to have your medications refilled or be seen by a prescriber within 24 hrs. Please fill out and sign the following forms and by doing so you are consenting to text, audio or video communications from our staff or one of our clinicians. We may do so in order to clarify your request or to assess your safety which is our number one priority. By signing, you are also consenting to the following HIPAA, Confidentiality, and telemedicine consents as well as agreeing that this is a one time refill service and you do not meet any of the following exclusion criteria here.