Albert Lea Veterinary Clinic

401 Saint Thomas Avenue
Albert Lea, MN 56007-3737

(507)373-8161

albertleavet.com

Prescription Refills

We offer the following form to allow you to refill your pet's prescription in a fast, convenient and easy way.  Please take care to fill in all of the requested information and make sure that the phone number you give us is one you can be reached at or leave a message at if that is how we are to contact you.  

We need to receive this form at least a day before you wish to pick up your prescription.

We will notify you when the prescription is ready to be picked up.     

Prescription Refills Online

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
E-Mail Address (required) :
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
How would you like to be contacted? (required)
phone
email
text


Pet's Name (required)

Have we seen your pet within the last year? (required)
Yes
No


Medication Requested (required)

Additional Comments / Questions


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