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, and only come to the clinic to pick up your item AFTER you have received a notification stating that said item is ready for pick up.

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 and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email when an request is confirmed and when an item is ready for pick up.

Name*
First Last
Email*
Phone*
Pet Name*
Drug or Food Name*
Medication - What is the Current Dose Your Pet is Taking?*
Medication - What Time is This Medication Being Given at?*
Medication - How Often are You Giving This Medication?*
Quantity*
Do you Have any Concerns About the Medications to be Filled?*
How is Your Pet Doing?*
Additional Comments*
What Method of Contact Do you Prefer?*
- Phone Call
- Text
- Email

Request Appointment

Request Refills

Call Us:519-396-2071