Patient Reorder Form

As a patient of the premier men’s clinic in the Indianapolis, Indiana area, we want to make sure you have what you need. That’s why we made reordering your meds as easy and simply as possible. Just fill out the reorder form below, and we will reach out shortly to confirm your order.

NOTE: Allow AT LEAST 48 hours for your refill order to be processed. All orders will be available after 3:00 pm EST.

Reorder Form

Name*
First Last
Date of Birth*
Date Format: MM slash DD slash YYYY
Phone*
Email*
Sildenafil - 150mg
- Troche
- Rapid Desolving Tablet (RDT)
Quantity
Vardenefil - 75mg
- Troche
- Rapid Desolving Tablet (RDT)
Quantity
Tadalafil - 6.25mg / 75mg
- 6.25mg Troche
- 6.25mg RDT
- 75mg Troche
- 75mg RDT
Quantity
Trimix - Injectable Medication
- Trimix
Quantity

Name*
First Last
Phone*
Email*
What Can We Help With?*

Testimonials

Real Patients, Real Results

After taking e.d. medications for years, panic set in when they quick working. For a year I did nothing. Needless to say that did not make my wife of over 30 years very happy. The Mens Clinic was my last hope. Everyone has been very understanding, easy to talk to openly, and very helpful in working to find a solution. My wife and I are back on track and everyone is happy. Thank you Men’s Clinic for finding a solution for a difficult and embarrassing situation. If you are worried about prices – consider this. I was spending as much on e.d. medications( insurance covered 0). Also, I was afraid my wife was about to leave me if I did not find a solution. I don’t want to figure what that would have cost. To me it has been well worth all the costs. I signed up for every program they offered because I needed a solution. The Mens Clinic came through and they do have an answer.

Tim C.

The entire staff was very knowledgeable and helpful and friendly. the treatment is very effective. its expensive, but well worth the money if you can manage. they will help you get your confidence back!
thank you!

Gene C.

Excellent, professional people.I am a medical professional, and understand that each man is different and it takes time to get dosages right. They did just that for me. They are patient, kind and professional, could not ask for more.

Gary G.

Make An Appointment

Let Our Experts Help You Today!

11590 North Meridian Street, Ste. 405 Carmel, IN 46032 317.999.9000 Info@IndyMensClinic.com

Name*
First Last
Phone*
Email*
What are You Looking For?*
When Would You Like to Visit?*
Date Format: MM slash DD slash YYYY