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: An exam and or bloodwork may be required prior to prescription refill.

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*