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Prescription Refill and Food Order Request Form

Please use the form below to request your prescription refill or food order. Please allow 72 hours for order processing. (We may not be able to accommodate last minute requests) Please 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 are not confirmed until you have received notification. A staff member will contact you by phone, email or text.
  • Click the plus symbol for additional medications. Please fill out everything, especially if you want a different quantity from the last time.
    RX Number (top left of label)Medication NameStrengthSize/QuantityHow often you give it 
  • Click on the plus symbol for additional food requests.
    FoodBag Size or CannedQuantity