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Prescription Refill Request Form
Please use the form below to request your prescription refill. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.
Note: Some prescriptions will require an examination of your pet prior to re-filling.
Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.
IMPORTANT: Prescription Refills Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Drug Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
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Home
About Us
Location & Hours
Team
Associated Veterinary Specialists
Continuing Education
Community Involvement
Our Patients
Success Stories
Send Us Your Photos
Services
Medical Services
Surgery Services
Emergency Care
Specialty Services
Wellness and Preventative
Puppy and Kitten Exams & Vaccinations
Laser Procedures
Blood and Plasma Transfusions
Nutrition
Anesthetic Monitoring
Resources
Educational Articles
Educational Presentations
Pet Health Checker
Forms
Prescription & Food Refill
Referrals
Weight Loss Questionnaire
Feline Friendly
Exotic Care
Emergency
Emergency Procedures
Emergency Procedures – Dogs and Cats
Emergency Procedure For Your Pet Bird
Emergency Procedures For Your Reptile
Emergency Procedures – Small Mammals
Wildlife Emergency Procedures
Careers
Externship Opportunities