Current Patients

Welcome to Your MedLink Health Solutions Patient Hub

At MedLink Health Solutions, we’re committed to making your ongoing care simple, supportive, and seamless. This page is your go-to resource for all things related to your continued wellness journey.

Here, you can:

Access your CharmHealth Patient Portal

Book an appointment with Dr. Sam - MedLink Health Solutions - Dr. Samantha Ramanan - Dr. Sam - Naturopathic Physician in AZ

Request or manage an appointment

Order or refill Fullscript supplements prescribed by your doctor

Request a medication refill without messaging the office

Prescription Refill Request Form

Please complete the form below to request a refill of your prescription medication.

"*" indicates required fields

Patient Information:

First Name*

Last Name*

Home Address*

Phone*

Email*

Date of Birth*

Prescription Details:

Medication Name*

Dosage*

Refill Quantity Requested*

Other: Quantity?

Has this prescription been prescribed by your provider before?*

Yes

No

Provider Name*

Pharmacy Information:

Preferred Pharmacy Name*

Pharmacy Phone Number*

Pharmacy Address

Street Address City State ZIP Code

Additional Notes or Instructions

Authorization*

I authorize my healthcare provider to release my prescription information to the pharmacy listed above.

Signature*

Date*

Email

This field is for validation purposes and should be left unchanged.

Your health is our priority, and we want to make it as easy as possible for you to stay connected, informed, and empowered. We hope you’ll find everything you need right here in this one place. If you have any questions, our team is always just a text message or phone call away.

CONTACT US

Have Questions? Get in touch!

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MONDAY – THURSDAY
9AM-5PM

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Ahwatukee Foothills Center
3930 E Ray Rd STE #150
Phoenix, AZ 85044

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480.482.7055