Dr Lipman

Prescription Online Order Form

Order by Fax/Email

To order by fax or email, print and fill out the online medication form below and send it to us along with a copy of your prescriptions to our toll free fax number:1-888-234-1275.

Download Online Order Form

Note – A staff member will contact you within 1 business day to complete your order & ensure we have received your prescription information and to collect payment information to complete your order.