Prescription Form (Non-Offer) - California Trim Clinic

Prescription Refills

At CALIFORNIA TRIM CLINIC, we’re committed to delivering a seamless experience for all your prescription refill needs. Simply complete the form below, and our dedicated team will handle your request carefully and efficiently. Please allow up to 48 hours for processing, and rest assured—we’ll keep you informed every step of the way. Should you have any questions, our team is readily available at hello@californiatrimclinic.com or (805) 892 8077, ensuring you receive the attentive support you deserve.

First Name *

Last Name *

Email *

Date of Birth *

Phone Number *

Mailing Address *

Medication, Supplement or Peptide Name *

Dosage *

Date of Last Refill

Any Additional Notes or Instructions for our medical team to review: *