Prescription Refills

Submit your refill request by completing the form below.

Please allow up to 72 hours for requests to be fulfilled. Prescriptions will be available for pickup at The Eye Vets. Current clients only. All refills at the discretion of Dr. Bergstrom. We cannot refill any prescription for a patient we have not examined in the past 12 months. We cannot refill any prescription that we have not recommended as part of our treatment protocol.

Patient Name

Client Name

Client Phone Number

(###)

###

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Client Email

Medications to be Refilled

Number of Bottles Requested

Where do you want these medications filled?

The Eye Vets

Outside Pharmacy