Prescription Refill and Food Order Request Form

We now have an online pharmacy option if you would like to order online and have your pet’s food and medication delivered to your home.

ONLINE PHARMACY

If you prefer to pick up your pet’s food or medication at the clinic, please read the instructions below and fill out the 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.

Many prescriptions require your pet to be examined before refilling or 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*

Prescription Refill and Food Order Request Form

In this section

Wide Variety Of Pet Services

PRESCRIPTION/FOOD REFILL REQUEST

Request Services and View Records with ePetHealth

Prescription Refill and Food Order Request Form

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In this section

Wide Variety Of Pet Services

PRESCRIPTION/FOOD REFILL REQUEST

Request Services and View Records with ePetHealth