The Student Health Services Pharmacy is pleased to accept your prescription refill requests over the Internet for prescriptions that are from the SHS Pharmacy using the form below.

If you would like us to transfer a prescription from another pharmacy, please use this form to submit the request: Transfer Request Form.

Please note the following:

  • If your prescription has authorized refills remaining, please allow 24 hours (1 business day) for processing of refill requests. If you need your prescription sooner, please call the pharmacy directly at 541-737-3491. 
  • If there are no remaining refills authorized, we must contact your clinician, which may delay processing of your request by 1-3 business days.
  • You MUST include your phone number and date of birth in the request form. Requests without phone numbers and date of birth will not be filled.

Please be prepared to present your student ID when you pick up your prescription.


*If you selected "other" from the number of months to be refilled, please enter that value here
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