Patient Forms and Links
Medication Refill Request
Click to request a refill for one or more of your medications. WE REQUIRE A ONE WEEK NOTICE FOR ALL MEDICATION REFILLS. If you are submitting a form for a refill that is needed sooner than one week from today, please note that there may be a delay.
Refill Request(opens in a new tab)
Schedule an Appointment
For established patients, please log into your Elation Passport and click on the button 'Book appointment' at the upper right hand corner to schedule your appointment.
Need to cancel or reschedule?
Please email staffmtl@directcarepgh.com or call (412) 892-9170 to cancel or reschedule your appointment.