Community Wellness Centers - Home Page - cwc.us.com - Your family pharmacy with excellent customer service and free local delivery

Refill your CWC prescription

Fields marked with an * are required for this transfer request.

Patient Information
*Patient Name:
*Date of Birth:
*Email:
*Phone:
Work Phone:
Best Time To Call:

Prescription Information & CWC location
*Prescription Number (Rx#):
*Which CWC pharmacy curently has the above prescription?


Select delivery options
*Would you like to have your prescription delivered free or would you like to pick-up the prescription at the CWC location you selected above?
I would like free delivery to my home (CWC will confirm your address before we deliver) I will pick-up this prescription

Security Check
8 + 1 *
In an effort to reduce computer-generated spam please ADD TOGETHER (sorry to make you do math) the two red security codes above. Answering this easy math problem helps us know that an actual person is submitting this information!(required)


You should be aware that sending personal information about the drugs you are taking and your personal health information through emails is not secure and that the information may be intercepted and read by others. We recommend that you include only the prescription numbers on refill requests, which will not divulge protected health information and is HIPAA compliant.