Twin Forks Clinic Inc. | Benkelman, NE & Wray, CO

To refill your pets prescription please fill out the form below.

The Prescription refill form is for
Twin Forks Clinic Patients ONLY.

Please call or email for current prices.
Benkelman Office: (308) 423-2895
Wray Office: (970) 332-3116

Vet Clinic:
Your Name: required
Your Email: required
Pet's Name:
Pet's Weight:
Owner's Phone Number: required
Heartworm Prevention/Dewormer (Dogs)
Flea & Tick Control
Flea, Tick, Heartworm, Ear Mite, Roundworm & Hookworm control (Cats):
Special Instructions or Other Medication

	Please click the submit button only once. It may take up to 1 minute to submit your information.