Forms

New Client Registration Form

Prior to your first visit please complete this form so that we can effectively and efficiently provide the service you deserve!

Make an Appointment Form

This form should only be used for requesting appointments that will take place at least 2 full business days after the time of the submission of this form.

Prescription Refill and Food Order Request Form

Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing.

Location Hours
Monday8:00am – 8:00pm
Tuesday7:30am – 8:00pm
Wednesday7:30am – 8:00pm
Thursday7:30am – 8:00pm
Friday8:00am – 5:00pm
Saturday9:00am – 5:00pm
SundayClosed

Location

Phone: 204-255-8811
Fax: 204-256-1178
Email: dakotaoffice@mymts.net