Palms Medical Group is a not-for-profit health care provider committed to bringing quality, affordable primary care and preventative services to you.

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Prescription Refills

Using your current prescription bottles, please provide us with the information requested below to place a refill request. This form is only for patients that use Palms Medical Group pharmacies. If you use an outside pharmacy, please contact that pharmacy directly regarding refills. If you need to fill a new prescription please contact one of our pharmacy locations.  

1. Who is this prescription for?

Please provide this information in case the pharmacist needs to contact you.

Please fill in the prescription holder’s name
Please enter your phone number with area code (xxx-xxx-xxxx)
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2. Prescription Refill Information

Enter the Palms Medical prescription RX numbers from your medication container.

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3. Pick Up or Mail Order

Pick Up: Please allow 1 business day for prescription processing.
Mail Order: Please allow 3-5 business days for delivery.

Please Choose One
NOTE: Your mail order prescription may ship from any of our pharmacy locations.
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Our Healthcare Services

Palms Medical Group offers a variety of services to meet your needs including Behavioral Health Care, Chiropractic, Dentistry, Family Medicine, Pediatrics, Prenatal, Pharmacy, and Xrays. We also offer a Graduate Medical Program.

Bell, Branford, Chiefland, Fleming Island, Gainesville, High Springs, Lake City East, Lake City West, Live Oak, Orange Park, Starke, Trenton, Williston
Branford, Chiefland, Gainesville, Lake City East, Lake City West, Live Oak, Trenton
Lake City, Trenton, Williston
Bell, Branford, Chiefland, Gainesville, Lake City East, Lake City West, Live Oak, Trenton
Bell, Trenton
Bell, Chiefland, Gainesville, Trenton
Branford, Chiefland, Trenton
Bell, Branford, Trenton
Bell, Branford, Chiefland, Fleming Island, Gainesville, High Springs, Lake City East, Lake City West, Live Oak, Orange Park, Starke, Trenton, Williston