Existing Patients: Please fill out the form below and submit. You do not need to upload a copy of your prescription.
New Patients: Fill the form out below and upload a picture or copy of your prescription below.
*Please note: Only current and valid prescriptions will be fulfilled.   
Once your order is received, we will verify your prescription and you will receive a call to take payment.
Please call us at the office if you have any questions at 305-420-6773 during regular business hours.