Prescription Refill Request

If you are a HealthPartners Central Minnesota Clinic patient or customer that has previously filled through us - please fill in the form below and click Submit. If you prefer, please feel free to call in your refill through our automated service line at (320) 253-9182.

If you have never filled a prescription through our pharmacy before, a pharmacist may attempt to contact you for further information to place your order.

Refill Request Form

First Name*
Last Name*
Phone*
Email*

Medication Name*
RX Number*

Medication Name
RX Number

Medication Name
RX Number

Medication Name
RX Number

Medication Name
RX Number


* Required Fields

Departments

Family Practice Pediatrics OBGYN Clinic Dental Behavioral Health Chiropractic Sports Medicine

Online Patient Services

Schedule My Appointment View My Medical Records View My Immunizations Refill a Prescription Pay My Bill Provider Directory Patient Satisfaction Survey ChildBirth Class Registration Patient Registration Learn More

Free Child Care

HealthPartners Central Minnesota Clinics offers a convenient Healthy Kids Club that allows medical and dental patients to receive free child care during their appointments. Learn More

Our Mission

The mission of HealthPartners Central Minnesota Clinics is to deliver personalized care, focused on improving the health and well being of each patient. Our Quality Initiatives reflect this as they focus on preventive medicine and the management of chronic health conditions.

Learn More