Prescription Refill Bismarck Animal Clinic & Hospital First Name Last Name Pet's Name Email: Medication(s) requesting to refill: Requested Pick up Date/Time. (Please allow 4 business hours for your request to be processed) Contact Phone Number Prefer Text/Call ---CallTextBoth Any information our staff should be made aware of? Your refill request is pending. Please allow 4 business hours for your request to be processed. If additional information is needed, our staff will contact you at the number left above. Bismarck Animal Clinic Bismarck Animal Clinic1414 E Calgary AveBismarck ND 58501