Xcel Primary Care

Prescription Refill Request

For established patients of Xcel Primary Care.

This form is for Xcel Primary Care patients only. Requests from patients whose primary care provider is not Xcel Primary Care will not be honored.

All refill requests are fulfilled subject to the primary care provider's discretion. Your provider may require an office or telehealth visit before refilling.

For questions, call (703) 349-5200.

Medication name, strength, how you take it, and your preferred pharmacy (name and location).