Request Refill

Request Refill

Medication refills using this form will be filled at our hospital by our staff. Please use this refill option for items that were dispensed to you directly from our hospital. You may pick up at the hospital or we will mail it to you for free.
Name On Account*

First NameLast Name
Phone On Account*
Please enter a valid phone number.
Pet's Name(s)*
Have we examined your pet(s) within the last 12 months?*

YesNo

Have you examined your pet(s) within the last 12 months - Yes
Medication(s) Requested:
Would you like to pick up at the hospital or have your items mailed to you?

I will pick it up at the hospitalPlease mail it to me

I will pick it up at the hospital
Please check to indicate agreement with pick up time.*

I understand that refills requested online will not be ready for pick up until the next business day.
If you must have a refill today, please do not request online. Call the office at 816-229-1544 and ask if we are able to fill it for you today by phone order.

Please mail it to me
We cannot ship pet foods or items that require refrigeration such as insulin. Visit our main pharmacy page for a link to order Purina diets with free shipping to your home.
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment is required prior to shipment. How would you prefer to pay?*

Email or text me a secure link to pay online by credit card.Call me and I will give you a credit card number over the phone.

Have we examined your pet (s) within the last 12 months - No
In order to dispense prescription medications our veterinarians are required by Missouri law to have examined the pet within the previous 12 months. Please contact our office at 816-229-1544 to schedule an appointment. If your pet is out of medication, please mention this when scheduling and we will dispense enough medication to last until the appointment date.