David S. Weingarden, MD & Associates, PC

Our Physicians Privacy Policy

Our Patients New Patients Accepted Insurances Appointment Request Form Rx Refill Request Medical Records Request Tele-health Consent Patient Education Appt. & Rx Policies

SERVICES CONTACT US PAY ONLINE

Request Appointment

Our Physicians Privacy Policy

Our Patients New Patients Accepted Insurances Appointment Request Form Rx Refill Request Medical Records Request Tele-health Consent Patient Education Appt. & Rx Policies

SERVICES CONTACT US PAY ONLINE Request Appointment

PRESCRIPTIONS

Prescription Refill Request

Please allow 48-72 hours after submitting a refill request before calling your pharmacy.

Patient's Complete Name

Date of Birth

Phone Number

Which Doctor

Who is Requesting

Medication

If Other, Medication Name

Strength

Frequency

Pills Per Dose

Additional Notes

Refill Request Submitted!

Please allow 48-72 hours before calling your pharmacy.

David S. Weingarden, M.D. & Associates, P.C.

Physical Medicine & Rehabilitation / Neurology — Serving Macomb County since 1986.

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43555 Dalcoma Dr #4
Clinton Township, MI 48038
(586) 228-2882
Fax: (248) 294-1392
Mon-Thu 8AM-5PM
Fri 8AM-3PM

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