College of Veterinary Medicine

Veterinary Medical Center

Prescription Refill

CVMVMC2 - image - 700x190 - Pharmacy
Online Pharmacy Refill Submission Form:
   
Please use this form for requesting refills for general hospital prescriptions. For prescriptions for the Behavior Service, click here.
   
Client Name:
Email:
Phone Number:
   
Pet Case Number:
Pet Name:
   
  Rx Number Rx Drug Name Strength
Prescription 1   
Prescription 2
Prescription 3
       
* To submit more than 3 Prescription Requests, please add them to the Comments field.
       
Please select which method you would prefer us to contact you by when your order has been filled:
by Phone
by Email
 
Comments (ie: pick-up time, quantity desired, mailout, etc):

* Please call 612-625-4602 for all questions related to payment.

** Please Allow 3 Business Days for Orders to be Filled. Please phone ahead to ensure your order will be ready.
 
  • ©2013 Regents of the University of Minnesota. All rights reserved.
  • The University of Minnesota is an equal opportunity educator and employer
  • Last modified on July 2, 2013