🚨Important Update: This page will soon become a private page, only accessible by Superior Hub Members. If you are a patient, please check your email for the access code, and learn how to sign up for the Active Patient Member Access here.

Need a Refill?

Before you submit a request, all patients must meet the following requirements:

Have met with your Superior provider in the last 3-months
Have submitted labs to your Superior provider in the last 3-months
Have maintained good patient standing with Superior Health & Wellness

If you don’t meet these requirements, please schedule an appointment with your superior provider and complete another set of labs.

Request a Refill

Name

First Name

Last Name

Phone

If your request is approved, you will be contacted by a Superior Team member to collect your credit card information to process your refill request.

(###)

###

####

Date of Birth

Select Year First (if using calendar)

YYYY

Sex

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Request Refill(s) Needed:

If you submit a refill request and an appointment with a provider is necessary to approve request, a $25 processing fee may apply.

Payment Method

Utilize Credit Card On File (if previously saved)

Send Online Invoice / Contact Me

Last-4 Digits

Please confirm the last 4-digits of the previously saved credit card you would like to utilize.

I understand this is NOT an appointment and IF my refill request is approved the payment method selected above will be implemented and/or a Superior Team Member may contact me to collect payment details in order for my request to be processed.

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🚨Important Update: This page will soon become a private page, only accessible by Superior Hub Members. If you are a patient, please check your email for the access code, and learn how to sign up for the Active Patient Member Access here.

Need a Refill?

Request a Refill

Thank you for submitting a refill request!

If your request is approved, you will be contacted by a Superior Team member to collect your credit card information to process your refill request.

IMPORTANT: If you have NOT had lab work and/or an appointment within the past 3 months, your request may be canceled. If an appointment with a provider is necessary, a $25 processing fee may be applied.

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