• As a patient, I understand that my medication renewal is subject to my physician’s periodic review of my health status to assess need and to monitor therapy.

 

  • As a patient, I must maintain my status as an “Active Patient” by visiting the physician at least once a year in order to be eligible for any prescription(s) renewal.

 

  • The physician may require evaluating you in the office prior to authorizing a prescription renewal.

 

  • As a patient, I agree to promptly make a follow up office visit when I am notified of this requirement.