Welcome to Stony Brook University Physicians

This login screen is for registered physicians and administrative staff use only, for access to the SBU Physicians Intranet and your My Account page.

Member Login

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Prescription Renewal Requests

PRESCRIPTION RENEWAL REQUEST

Prescription Renewal Request should be used to renew a prescription written by your doctor. Your doctor may need to see you in the office before a renewal is written. Please DO NOT USE this form for urgent messages or an emergency. IN AN EMERGENCY, CALL 911 OR GO TO THE NEAREST EMERGENCY ROOM. If you have new symptoms or an urgent question or concern, please call our office. Our goal is to respond to all requests within two (2) business days.

Please complete all required fields.
Patient First Name: *
Patient Last Name: *
Patient E-mail Address:
Patient Date of Birth: * (mm/dd/yyyy)
Department: *
Physician:
Home Number: * --
Work Number: --
Cell Phone Number: --
Prescription Delivery Options: *
How many Prescriptions would you like to fill: *

Your prescription(s) will be called in to the pharmacy indicated on your request within 2 business days.
Pharmacy Name: *
Pharmacy Phone: * --
Your prescription(s) will be ready within 2 business days. Our office will call you at the number indicated when it is ready for pick up.
Your prescription(s) will be mailed to the address indicated in your request within 2 business days.
Street Address: *
Town/City: *
State: *
Zip: *


© Stony Brook University Physicians              Phone: 631-444-3627 - PO Box 1554 Stony Brook, NY 11790-0988              Serving Suffolk & Nassau County, Long Island, NY