Prescription Refill Request
Please allow 24-48 hours for prescription refill requests to be processed, or 5-7 business days for compounded medications. Note that for any special order medications, we will contact you for payment in advance.
File Information
Name of Client
*
First Name
Last Name
Name of Pet
*
Prescription Information
Name of Medication, Supplement or Herbal Formula
*
Form of Medication, Supplement or Herbal Formula
*
Please Select
Tablet
Capsule
Powder
Liquid
Transdermal
Topical
Injectable
Concentration (e.g. 10mg/ml, 5mg, etc.) - If Applicable
*
Flavour - If Applicable
What dose/amount are you giving? (e.g. 0.25ml, 1 tablet, 1/4 tsp, etc.)
*
How frequently are you giving the medication? (e.g. every 12 hours, once a day, etc.)
*
Quantity Requested (e.g. 60mls, 100 tablets, etc.)
*
How is your pet doing on the medication? Please enter any information that you would like us to record on your pet's medical record. *If you have medical concerns, please call the clinic directly.*
*
Submit
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