If you need immediate medical attention please dial 911 or go to your nearest emergency room. Please fill out the details and you will be contacted within 60 minutes for non-emergencies and 15 minutes for a medical emergency.
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I need to be contacted within the next:
Please enter your childs first and last name:
Who is your primary physician?
Dr. Julia Ann White
Dr. Peter S. Waldstein
Pease enter your childs date of birth:
Please enter your mobile phone call back number:
Please enter your message for the on-call provider:
If you will be needing a prescription or requesting a refill please enter your prescription name above. Enter your childs weight in pounds (lbs). Enter the pharmacy phone number, closing time and allergies before submitting this request.
My childs weight in pounds:
Pharmacy phone number (confirmed):
I called the pharmacy and confirm its open?
Please Report Any Medicine Allergies:
No Medicine Allergies
Non-Steroidal Anti-Inflammatory Medications (Ibuprofen, Advil, Motrin, Aleve)
I understand the on-call provider will be immediately notified.