Veterinary Prescription Refill Request Form
Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 48 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.
Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.
An up-to-date veterinary client patient relationship must be established to refill a prescription. This requires an annual exam
at least once
in a calendar year.
Some medications require recheck blood work prior to approval for refills. If this is required we will contact you to schedule this appointment.
IMPORTANT:
Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.
Pet Owner Information
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Pet Name
*
Pickup in Clinic Location
*
Two Harbors
Grand Marais
Drug or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
Submit
Should be Empty: