Refills + Supply Requests
Need a medication refill or additional supplies?
Current patients can submit requests securely through the Patient Portal. You do not need to schedule an appointment to send a request.
How to Submit Your Request
1
Copy the template below.
Medication or supply requested:
Quantity needed:
Current amount remaining:
Expected run-out date:
Additional questions or concerns:
2
Go to your Patient Portal.
3
Log in and select Messages.
4
Paste the template into your message, fill in the details, and send it to our team.
Providing this information helps us process your request and reduces the need for follow-up questions.
If we need any additional information or a follow-up appointment before fulfilling your request, our team will contact you.
Supplies Available Through Fortify Health & Performance
The following supplies can be ordered directly through us.
27G Insulin Needles
$20 for the first 10 needles
$10 for each additional 10 needles
31G Insulin Needles
$20 for the first 10 needles
$10 for each additional 10 needles
Sharps Container
$25 each
3 mL Reconstitution Syringe with 1" 23G Needle
10-pack | $20
Bacteriostatic Water
$25 each
Prefer to Purchase Supplies Elsewhere?
Some supplies may be available at a lower cost through outside retailers. We’ve included a couple of resources below for your convenience.
When purchasing supplies elsewhere, please make sure you are ordering the correct gauge, needle length, syringe size, and other specifications recommended by your Fortify Health & Performance provider.
External retailers are provided as a convenience only and are not affiliated with us. Product availability, pricing, and quality are determined by the individual retailer.
Not Sure What You Need?
If you’re unsure which supplies to order or have a question about your medication or refill, send us a message and our team can help.