New Patient Form

Complete the form below and a pharmacist will reach out to you within 24 business hours. To discuss your medications and delivery preferences.

Information on this page is provided by Wellscript Pharmacy, a Michigan-licensed pharmacy. For questions, speak directly with a licensed pharmacist.

These secure forms are powered by our HIPAA‑compliant partner, FormDr, and are embedded directly on this page

Wellscript Pharmacy provides prescription delivery and pharmacist support for patients across Bloomfield Township, Oakland County, and nearby Michigan communities.

We commonly help:

  • Patients in Bloomfield Township and Oakland County who want prescription delivery to home or work.

  • Busy professionals, families, and caregivers who need convenient medication delivery and easy refills.

  • Uninsured and underinsured patients in Michigan seeking affordable prescription options and savings.

  • Medicaid patients looking for a local pharmacy that understands Michigan Medicaid coverage and offers delivery.

  • Patients managing chronic conditions who need coordinated refills, prior authorization assistance, and pharmacist counseling.

  • Seniors and individuals with limited transportation who benefit from reliable home prescription delivery.

📍 Serving Bloomfield Township, Oakland County, and nearby Michigan communities.