Refill a Prescription | The Apothecary in MN

New Patient Information

Welcome to The Apothecary! Please complete our New Patient Information Form for our records and make sure you review our Privacy Practices. If you have any questions, please call us at 320-251-0107.

First Name*
Last Name*
Date of Birth*
Phone*
Alt Phone
Email
Address*
Allergies*
Medications*
Permission to text alerts
We have the ability to text you when your products are ready or for other pharmacy alerts. Please opt in to this feature if desired.
- Text Opt In
E-Newsletter
Select to opt in to receive our monthly e-newsletter. If interested, please provide your email in the form above.
- Receive Monthly Newsletter
Other Notes for The Apothecary
Notice of Privacy Practices Agreement
I acknowledge that I have had an opportunity to review a copy of the pharmacy's Notice of Privacy Practices
I agree to the Notice of Privacy Practices

A Note from The Apothecary

Welcome to The Apothecary! We are excited to meet you and service your personalized prescription needs.