Prescription/Food Refill Request Form

In general, prescription refills should be available within 48 hours, unless it is a special order item. If you need these medications sooner, please call.

Please fill out a separate refill request form for each pet.

Client's Name*

First NameLast Name

Pet's Name*

Cell Phone Number*

We text you when your prescription refill is ready for pick up (we do not text food only orders).

Medication refills requested (Medications only should be requested here, food is separate. If not requesting any medications, write "none" in one cell)*

	Medication Name	Strength (mg, mg/ml, etc)	Quantity Requested**	How are you giving/dosing this medication at home?
1
2
3
4

Food refills requested (Foods only should be requested here, medications are separate. If not requesting any foods, write "none" in one cell)*

	Food Name	Bag size (in lbs) or can size (in oz)	Quantity Requested**
1
2

Special instructions/requests

**Please be aware if you request a different quantity than what your prescription was originally written for, this may cause delays in your refill as it will have to be okayed by a doctor**

Please be prepared to pick up your medication/food within 3 days of it being filled. After 10 days, items will be reshelved.

You will receive a text when your prescription is ready to pick up, followed by a remote payment link. You can use this remote payment link to make your pick up faster and more efficient!