Existing Patient
Refill Request

Every refill goes through clinical review and pharmacy processing. Use the guide below to know when to request yours, then submit the form.

When to Request Your Refill

Submitting on time helps us ensure your treatment continues without interruption.

  • Birth Control 1 week ahead
    Request when you start your last week of pills.
  • Hormone Replacement 1–2 weeks ahead
    Request when you begin your last tube, or open your last patch in the box.
  • GLP Medications 2–3 weeks ahead
    Request when you reach ¼ remaining in your vial. GLPs ship on ice Monday–Thursday only, which is why we ask for additional lead time.

Submit Your Refill Request

A member of our team will follow up once your request has been reviewed.

Please enter your first name
Please enter your last name
Please enter a valid email
Please enter your phone number
Please select your provider
Please include the medication name and the dosage you are currently taking.
Please enter the prescription you are requesting
Share any details our team should know — preferred pharmacy, remaining supply, or anything else relevant to your request.
Please include a message with your request
Submitting your request...

Refill Request Submitted

Thank you. Your request has been received by the ESSE Care team. We will follow up with you once your prescription has been reviewed and processed.

If you submit today Based on our team's standard processing time, here is the earliest you can expect to receive your prescription if you submit your request today:
  • Birth Control —
  • Hormone Replacement —
  • GLP Medications —
Estimates count business days only (Monday–Friday, excluding major U.S. holidays). GLP medications ship on ice Monday–Thursday only, which is reflected in the date above.

Important to Know

Dosage changes require a visit. Any alteration to your dosing requires a phone call or appointment with our Nurse or PA, along with updated labs. Please do not request a dose change through this form.

Controlled substances require additional review. Refills for controlled substances must be processed with a DEA-credentialed provider and a triple-authenticator review, which adds time to the standard turnaround.

Last-minute requests may result in delays. Following the lead times above helps us ensure your treatment continues without interruption.