Request a Refill for Local Pickup
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Pet's Name
Medication You'd Like to Refill
Current dose?
(weight range for preventative, mg, frequency, etc)
Format?
(chewable, tablet, capsule, liquid, tiny tab, etc)
Requested quantity: Please note this may be altered based on availablity, your pet's next appointment, recommended bloodwork, etc.
Please Select
30 day
60 day
90 day
3 month
6 month
1 year
Other
If you indicated "other" in the quantity question above, please describe:
Is you pet currently taking this medication
Yes
No
Is your pet doing well on this medication
Yes
No
Have you made any changes to the administration or dosing of this food or medication since it was first prescribed? If so, please describe:
How would you like to be notified when your prescription is ready?
Please Select
Text
Email
Phone call
Any questions for PAW Veterinarians or Technicians? We are happy to help!
Submit
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