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:
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.
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  • Last modified on July 2, 2013