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Thank you for choosing Hi-Rx,
we can't wait to work with you!

The button below will direct you to a form where you will have the ability to upload an Rx on your patient’s behalf.

We are also able to accept requisitions via fax. Our fax number is 860-532-1922.

Please review the following before submitting:

The Rx should include the following information for all patients being serviced:


Patient's Name

Patient's Date of Birth

Patient's Contact Information

Your Order (e.g. lab test name, immunization name) 

MD name/signature 

Physician's office number & fax number



Every Rx received goes through a thorough review by our team. Once the Rx passes our review, a member of our customer service team will reach out to your patient directly to help facilitate their care. 

Please review our confirmation, receipt, and follow up process here.

For blood draw or specimen requests & orders:

After the Hi-Rx appointment, your patient's specimen will be delivered directly to your lab of choice alongside the Rx. The Rx identifies you as the supervising physician and allows the lab to know where to direct the patient's results once they have been processed.

For immunization requests:

If this is the first time you are working with Hi-Rx, please call us at 203-920-4092 and we can walk you through the process.



If you have any questions regarding your patient's upcoming visit or our services in general, please do not hesitate to call us at 203-920-4092 or email us at

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