Prescription Refill Request
Thank you for refilling your prescription with East Central Veterinarians. Please complete the following form or text 763-689-4604 with the Rx# (found on your ECV prescription bottle)/drug name and the clinic pick-up location (Cambridge or Mora). Your prescription will be ready within 24 business hours if there are available refills, otherwise a team member will contact you. We will text you when your prescription is ready for pick-up. Thank you for choosing East Central Veterinarians.
Name
*
First Name
Last Name
Email
*
example@example.com
Pet's Name
*
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Clinic You Want to Pick Up From:
*
Cambridge
Mora
Rx # - (6 digits) OR drug name and concentration
If you have eligible prescriptions, would you like to enroll in automatic refills?
*
Yes
No
Submit
Should be Empty: