We have the patients contact the pharmacy when they need a refill. I still get faxes but not near as many as before. I have a form letter I send to the pharmacies stating that we request NO FAXED REFILL REQUESTS. Of course on occasion I get the phone call from a pharmacist stating they "can't" do electronic refill requests but I usually pull up a couple instances where they have done it before. This usually solves the problem.