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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
*
Δ
Home
New Clients
Veterinary Specials
New Client Registration Form
Prescription Refill and Food Order Request Form
About Us
Our Team
Services
Medical Services
Surgical Services
Preventive Services
Wellness and Vaccination Programs
Alternative and Complementary Therapy
Grooming
Emergencies
Medical Boarding Options
Pet Health
How-To Videos
Pet Health Library
Pet Health Checker
Pet Food Recalls
Product Recalls
Pet Insurance Information
Pet Insurance Comparison Tool
News
Contact Us
Request an Appointment Online
Resources
Nutramax Laboratories
Purina Pro Plan Vet Direct: Online Food Purchase
Download Our App
Out of Town Clinics
Online Store
twitter
facebook