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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. 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 and Food 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 or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
Clients
New Client Registration Form
Procedure Consent Form
Boarding Form
Take A Tour
Secure Online Payments
About Us
Our Doctors
Client and Patient Care Teams
Location & Hours
Boarding & Dog Daycare
Pet Services
Anesthesia and Patient Monitoring
Avian Medicine and Surgery
Dog Licensing
Exotic Pet Medicine and Surgery
Laser Therapy
Medical Services
Pet Allergies
Pet Diabetes
Surgical Services
Wellness and Vaccination Programs
My Pet
Rx and Food Form
Make an Appointment
Request Services