diff --git a/Louis'-Pharmacy_CNSA212-FP/Louis'-Pharmacy_CNSA212-FP.csproj b/Louis'-Pharmacy_CNSA212-FP/Louis'-Pharmacy_CNSA212-FP.csproj
index 48fa102..f79590e 100644
--- a/Louis'-Pharmacy_CNSA212-FP/Louis'-Pharmacy_CNSA212-FP.csproj
+++ b/Louis'-Pharmacy_CNSA212-FP/Louis'-Pharmacy_CNSA212-FP.csproj
@@ -125,6 +125,9 @@
     <EmbeddedResource Include="frmRefill.resx">
       <DependentUpon>frmRefill.cs</DependentUpon>
     </EmbeddedResource>
+    <EmbeddedResource Include="frmRefillAdd.resx">
+      <DependentUpon>frmRefillAdd.cs</DependentUpon>
+    </EmbeddedResource>
     <EmbeddedResource Include="frmWelcome.resx">
       <DependentUpon>frmWelcome.cs</DependentUpon>
     </EmbeddedResource>
diff --git a/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.Designer.cs b/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.Designer.cs
index 2f7396e..120a0ff 100644
--- a/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.Designer.cs
+++ b/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.Designer.cs
@@ -28,12 +28,142 @@
         /// </summary>
         private void InitializeComponent()
         {
-            this.components = new System.ComponentModel.Container();
+            this.lblRefillID = new System.Windows.Forms.Label();
+            this.lblRefillDate = new System.Windows.Forms.Label();
+            this.lblPatientID = new System.Windows.Forms.Label();
+            this.lblMedicationID = new System.Windows.Forms.Label();
+            this.lblRxNumber = new System.Windows.Forms.Label();
+            this.txtRefillID = new System.Windows.Forms.TextBox();
+            this.txtRefillDate = new System.Windows.Forms.TextBox();
+            this.txtPatientID = new System.Windows.Forms.TextBox();
+            this.txtMedicationID = new System.Windows.Forms.TextBox();
+            this.txtRxNumber = new System.Windows.Forms.TextBox();
+            this.btnAdd = new System.Windows.Forms.Button();
+            this.SuspendLayout();
+            // 
+            // lblRefillID
+            // 
+            this.lblRefillID.AutoSize = true;
+            this.lblRefillID.Location = new System.Drawing.Point(103, 75);
+            this.lblRefillID.Name = "lblRefillID";
+            this.lblRefillID.Size = new System.Drawing.Size(47, 13);
+            this.lblRefillID.TabIndex = 0;
+            this.lblRefillID.Text = "Refill ID:";
+            // 
+            // lblRefillDate
+            // 
+            this.lblRefillDate.AutoSize = true;
+            this.lblRefillDate.Location = new System.Drawing.Point(103, 146);
+            this.lblRefillDate.Name = "lblRefillDate";
+            this.lblRefillDate.Size = new System.Drawing.Size(59, 13);
+            this.lblRefillDate.TabIndex = 1;
+            this.lblRefillDate.Text = "Refill Date:";
+            // 
+            // lblPatientID
+            // 
+            this.lblPatientID.AutoSize = true;
+            this.lblPatientID.Location = new System.Drawing.Point(103, 221);
+            this.lblPatientID.Name = "lblPatientID";
+            this.lblPatientID.Size = new System.Drawing.Size(57, 13);
+            this.lblPatientID.TabIndex = 2;
+            this.lblPatientID.Text = "Patient ID:";
+            // 
+            // lblMedicationID
+            // 
+            this.lblMedicationID.AutoSize = true;
+            this.lblMedicationID.Location = new System.Drawing.Point(425, 75);
+            this.lblMedicationID.Name = "lblMedicationID";
+            this.lblMedicationID.Size = new System.Drawing.Size(76, 13);
+            this.lblMedicationID.TabIndex = 3;
+            this.lblMedicationID.Text = "Medication ID:";
+            // 
+            // lblRxNumber
+            // 
+            this.lblRxNumber.AutoSize = true;
+            this.lblRxNumber.Location = new System.Drawing.Point(425, 146);
+            this.lblRxNumber.Name = "lblRxNumber";
+            this.lblRxNumber.Size = new System.Drawing.Size(63, 13);
+            this.lblRxNumber.TabIndex = 4;
+            this.lblRxNumber.Text = "Rx Number:";
+            // 
+            // txtRefillID
+            // 
+            this.txtRefillID.Location = new System.Drawing.Point(173, 75);
+            this.txtRefillID.Name = "txtRefillID";
+            this.txtRefillID.Size = new System.Drawing.Size(100, 20);
+            this.txtRefillID.TabIndex = 5;
+            // 
+            // txtRefillDate
+            // 
+            this.txtRefillDate.Location = new System.Drawing.Point(173, 146);
+            this.txtRefillDate.Name = "txtRefillDate";
+            this.txtRefillDate.Size = new System.Drawing.Size(100, 20);
+            this.txtRefillDate.TabIndex = 6;
+            // 
+            // txtPatientID
+            // 
+            this.txtPatientID.Location = new System.Drawing.Point(173, 221);
+            this.txtPatientID.Name = "txtPatientID";
+            this.txtPatientID.Size = new System.Drawing.Size(100, 20);
+            this.txtPatientID.TabIndex = 7;
+            // 
+            // txtMedicationID
+            // 
+            this.txtMedicationID.Location = new System.Drawing.Point(517, 75);
+            this.txtMedicationID.Name = "txtMedicationID";
+            this.txtMedicationID.Size = new System.Drawing.Size(100, 20);
+            this.txtMedicationID.TabIndex = 8;
+            // 
+            // txtRxNumber
+            // 
+            this.txtRxNumber.Location = new System.Drawing.Point(517, 146);
+            this.txtRxNumber.Name = "txtRxNumber";
+            this.txtRxNumber.Size = new System.Drawing.Size(100, 20);
+            this.txtRxNumber.TabIndex = 9;
+            // 
+            // btnAdd
+            // 
+            this.btnAdd.Location = new System.Drawing.Point(322, 358);
+            this.btnAdd.Name = "btnAdd";
+            this.btnAdd.Size = new System.Drawing.Size(75, 23);
+            this.btnAdd.TabIndex = 10;
+            this.btnAdd.UseVisualStyleBackColor = true;
+            // 
+            // frmRefillAdd
+            // 
+            this.AutoScaleDimensions = new System.Drawing.SizeF(6F, 13F);
             this.AutoScaleMode = System.Windows.Forms.AutoScaleMode.Font;
             this.ClientSize = new System.Drawing.Size(800, 450);
+            this.Controls.Add(this.btnAdd);
+            this.Controls.Add(this.txtRxNumber);
+            this.Controls.Add(this.txtMedicationID);
+            this.Controls.Add(this.txtPatientID);
+            this.Controls.Add(this.txtRefillDate);
+            this.Controls.Add(this.txtRefillID);
+            this.Controls.Add(this.lblRxNumber);
+            this.Controls.Add(this.lblMedicationID);
+            this.Controls.Add(this.lblPatientID);
+            this.Controls.Add(this.lblRefillDate);
+            this.Controls.Add(this.lblRefillID);
+            this.Name = "frmRefillAdd";
             this.Text = "frmRefillAdd";
+            this.ResumeLayout(false);
+            this.PerformLayout();
+
         }
 
         #endregion
+
+        private System.Windows.Forms.Label lblRefillID;
+        private System.Windows.Forms.Label lblRefillDate;
+        private System.Windows.Forms.Label lblPatientID;
+        private System.Windows.Forms.Label lblMedicationID;
+        private System.Windows.Forms.Label lblRxNumber;
+        private System.Windows.Forms.TextBox txtRefillID;
+        private System.Windows.Forms.TextBox txtRefillDate;
+        private System.Windows.Forms.TextBox txtPatientID;
+        private System.Windows.Forms.TextBox txtMedicationID;
+        private System.Windows.Forms.TextBox txtRxNumber;
+        private System.Windows.Forms.Button btnAdd;
     }
 }
\ No newline at end of file
diff --git a/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.resx b/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.resx
new file mode 100644
index 0000000..1af7de1
--- /dev/null
+++ b/Louis'-Pharmacy_CNSA212-FP/frmRefillAdd.resx
@@ -0,0 +1,120 @@
+<?xml version="1.0" encoding="utf-8"?>
+<root>
+  <!-- 
+    Microsoft ResX Schema 
+    
+    Version 2.0
+    
+    The primary goals of this format is to allow a simple XML format 
+    that is mostly human readable. The generation and parsing of the 
+    various data types are done through the TypeConverter classes 
+    associated with the data types.
+    
+    Example:
+    
+    ... ado.net/XML headers & schema ...
+    <resheader name="resmimetype">text/microsoft-resx</resheader>
+    <resheader name="version">2.0</resheader>
+    <resheader name="reader">System.Resources.ResXResourceReader, System.Windows.Forms, ...</resheader>
+    <resheader name="writer">System.Resources.ResXResourceWriter, System.Windows.Forms, ...</resheader>
+    <data name="Name1"><value>this is my long string</value><comment>this is a comment</comment></data>
+    <data name="Color1" type="System.Drawing.Color, System.Drawing">Blue</data>
+    <data name="Bitmap1" mimetype="application/x-microsoft.net.object.binary.base64">
+        <value>[base64 mime encoded serialized .NET Framework object]</value>
+    </data>
+    <data name="Icon1" type="System.Drawing.Icon, System.Drawing" mimetype="application/x-microsoft.net.object.bytearray.base64">
+        <value>[base64 mime encoded string representing a byte array form of the .NET Framework object]</value>
+        <comment>This is a comment</comment>
+    </data>
+                
+    There are any number of "resheader" rows that contain simple 
+    name/value pairs.
+    
+    Each data row contains a name, and value. The row also contains a 
+    type or mimetype. Type corresponds to a .NET class that support 
+    text/value conversion through the TypeConverter architecture. 
+    Classes that don't support this are serialized and stored with the 
+    mimetype set.
+    
+    The mimetype is used for serialized objects, and tells the 
+    ResXResourceReader how to depersist the object. This is currently not 
+    extensible. For a given mimetype the value must be set accordingly:
+    
+    Note - application/x-microsoft.net.object.binary.base64 is the format 
+    that the ResXResourceWriter will generate, however the reader can 
+    read any of the formats listed below.
+    
+    mimetype: application/x-microsoft.net.object.binary.base64
+    value   : The object must be serialized with 
+            : System.Runtime.Serialization.Formatters.Binary.BinaryFormatter
+            : and then encoded with base64 encoding.
+    
+    mimetype: application/x-microsoft.net.object.soap.base64
+    value   : The object must be serialized with 
+            : System.Runtime.Serialization.Formatters.Soap.SoapFormatter
+            : and then encoded with base64 encoding.
+
+    mimetype: application/x-microsoft.net.object.bytearray.base64
+    value   : The object must be serialized into a byte array 
+            : using a System.ComponentModel.TypeConverter
+            : and then encoded with base64 encoding.
+    -->
+  <xsd:schema id="root" xmlns="" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:msdata="urn:schemas-microsoft-com:xml-msdata">
+    <xsd:import namespace="http://www.w3.org/XML/1998/namespace" />
+    <xsd:element name="root" msdata:IsDataSet="true">
+      <xsd:complexType>
+        <xsd:choice maxOccurs="unbounded">
+          <xsd:element name="metadata">
+            <xsd:complexType>
+              <xsd:sequence>
+                <xsd:element name="value" type="xsd:string" minOccurs="0" />
+              </xsd:sequence>
+              <xsd:attribute name="name" use="required" type="xsd:string" />
+              <xsd:attribute name="type" type="xsd:string" />
+              <xsd:attribute name="mimetype" type="xsd:string" />
+              <xsd:attribute ref="xml:space" />
+            </xsd:complexType>
+          </xsd:element>
+          <xsd:element name="assembly">
+            <xsd:complexType>
+              <xsd:attribute name="alias" type="xsd:string" />
+              <xsd:attribute name="name" type="xsd:string" />
+            </xsd:complexType>
+          </xsd:element>
+          <xsd:element name="data">
+            <xsd:complexType>
+              <xsd:sequence>
+                <xsd:element name="value" type="xsd:string" minOccurs="0" msdata:Ordinal="1" />
+                <xsd:element name="comment" type="xsd:string" minOccurs="0" msdata:Ordinal="2" />
+              </xsd:sequence>
+              <xsd:attribute name="name" type="xsd:string" use="required" msdata:Ordinal="1" />
+              <xsd:attribute name="type" type="xsd:string" msdata:Ordinal="3" />
+              <xsd:attribute name="mimetype" type="xsd:string" msdata:Ordinal="4" />
+              <xsd:attribute ref="xml:space" />
+            </xsd:complexType>
+          </xsd:element>
+          <xsd:element name="resheader">
+            <xsd:complexType>
+              <xsd:sequence>
+                <xsd:element name="value" type="xsd:string" minOccurs="0" msdata:Ordinal="1" />
+              </xsd:sequence>
+              <xsd:attribute name="name" type="xsd:string" use="required" />
+            </xsd:complexType>
+          </xsd:element>
+        </xsd:choice>
+      </xsd:complexType>
+    </xsd:element>
+  </xsd:schema>
+  <resheader name="resmimetype">
+    <value>text/microsoft-resx</value>
+  </resheader>
+  <resheader name="version">
+    <value>2.0</value>
+  </resheader>
+  <resheader name="reader">
+    <value>System.Resources.ResXResourceReader, System.Windows.Forms, Version=4.0.0.0, Culture=neutral, PublicKeyToken=b77a5c561934e089</value>
+  </resheader>
+  <resheader name="writer">
+    <value>System.Resources.ResXResourceWriter, System.Windows.Forms, Version=4.0.0.0, Culture=neutral, PublicKeyToken=b77a5c561934e089</value>
+  </resheader>
+</root>
\ No newline at end of file