---
title: Osteoporosis Medication Refill Request Form Template | Paperform
description: Professional osteoporosis medication refill form with DEXA scan tracking, calcium intake assessment, and bone health questionnaire. Perfect for endocrinology and primary care practices.
url: "https://paperform.co/templates/osteoporosis-medication-refill-request-form"
type: static
generatedAt: "2026-03-28T00:44:42.087Z"
---

[← Back to free form templates](/templates/)    ![Osteoporosis Medication Refill Request Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/osteoporosis-medication-refill-request-form.png)
    [Preview](https://_preview.paperform.co/ai-template/osteoporosis-medication-refill-request-form) [Use this template for free](/create?ai-template=osteoporosis-medication-refill-request-form)    [Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Pharmacy](/templates/industry/pharmacy/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Pharmacist](/templates/role/pharmacist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Osteoporosis Medication Refills with Comprehensive Bone Health Tracking

Managing osteoporosis treatment requires consistent medication adherence and regular monitoring of bone health markers. This **Osteoporosis Medication Refill Request Form** simplifies the refill process for healthcare practices, endocrinology clinics, and primary care offices by capturing essential patient information, DEXA scan results, calcium intake patterns, and bone health status in one organized submission.

Instead of juggling phone calls, faxes, and incomplete information, healthcare providers can use this form to gather everything needed to safely approve medication refills—including current symptoms, adherence patterns, recent diagnostic results, and lifestyle factors that impact bone density. Patients benefit from a clear, guided experience that ensures their treatment continues without interruption.

**Built for healthcare workflows:** The form includes conditional logic to capture different information based on medication type, side effects, and recent fracture history. You can embed it directly into your patient portal, send it via email, or share it through text message reminders when refills are due.

**Integrate with your practice management system:** Connect submissions to your EHR, send alerts to pharmacy staff via Slack or email, and use [Stepper](https://stepper.io) to automatically route requests through your approval workflow—flagging cases that need provider review versus those that can be processed by nursing staff.

Whether you're managing a busy endocrinology practice, running a women's health clinic, or coordinating osteoporosis care in a primary care setting, this form template gives you a professional starting point that can be customized to match your protocols, branding, and compliance requirements—all without writing a single line of code.
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