Forms : Rx Refill

                                                    
                           Note: Service Now Available.

Prescription Refills  

In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now request a refill for your pet's prescription by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by the doctor. Keep in mind that "Federal Law prohibits dispensing of certain medications without a physical examination or prescription". Additionally certain patients must be monitored by bloodwork testing every 4 to 6 months before refills can be authorized.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. If you prefer to have it mailed to you, a shipping fee will be applied and the medication will have to be prepaid by phone before the medication is shipped to you.

 

Form - Prescription Refills Online

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
E-Mail Address (required) :
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Sex (required)
Male
Female

Age: Years, Months

Have we seen the patient within the last six months? Certain medications require an exam and or BW. (required)
Yes
No

Medication Requested (required)

Additional Comments / Questions


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