Prescription Refill Request
Please allow at least 24 hours for refills. Requests received over the weekend may not be filled until the following business day.
Pet Name
*
Owner's Name
*
Owner's Phone Number
*
Owner's Email address
*
Which veterinarian prescribed the medication?
Please Select
Dr. Kevin Drygas
Dr. Carl Jehn
Dr. Sofia Morales
Dr. Paul Sorrentino
Dr. Diane Lewis
Urgent Care Doctor
How would you like your prescription filled?
*
Pick up at Capital Vet Specialists
Call into Pharmacy (please provide pharmacy name and phone # below.
Pharmacy Name:
Pharmacy phone number:
-
Area Code
Phone Number
Medication (s) to be refilled.
*
Include medication name and strength ex: 50mg
Medication (s) to be refilled.
Include medication name and strength ex: 50mg
Medication (s) to be refilled.
Include medication name and strength ex: 50mg
Medication (s) to be refilled.
Include medication name and strength ex: 50mg
Comments / Questions
THANK YOU!
You will be called when your prescription is ready to be picked up.
Submit
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