Fox Rural Health Clinic
                        
1001 Highway 83 N, P.O. Box 1030, Childress, Texas  79201   Phone:  940-937- 3636              

Fill in all applicable lines.  Please leave a contact phone number. 

If you are requesting a refill on a regular medication, please contact your pharmacy first to see if the refill has been called in. 

This message will not be answered via email.

Please input today's date

-- mm/dd/yy

Please provide your Patient Information

Name
Date of Birth
Sex Male Female

Please select your Doctor or Practitioner:

Caldwell
Carter
Darter
Green
Henderson
Olay
Ridens
Foster
Jones
Rabe
Pratt
Schaefer

Please provide the following contact information:

Name
Best Contact Phone
Secure Message Phone
   

Need to ask your doctor or practitioner a question?  Type in your question below:


Need a prescription refill?  Enter your refill request in the space provided below. Be sure to include the drug name, dosage, quantity and the date this was last filled.



What pharmacy do you use?



Website hosted by the Coalition of Health Services, Inc.
Copyright © 2007 [Childress Regional Medical Center]. All rights reserved.
Revised: 11/18/08