Prescription Refill & 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 72 hours for order processing. This time frame may be longer for compounded medications. Please do not come to the clinic until you have received confirmation to pick up your order.

PLEASE NOTE: 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 & 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*
You can upload a picture of your current prescription or product to ensure you receive the correct item(s)
Drop files here or

Accepted file types: jpg, png, gif.

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Prescription Refill and Food Order Request Form

Prescription Refill & Food Order Request Form