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Prescription Refill and Food Order Request Form
Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.
Note: Some prescriptions will require an examination of your pet prior to re-filling.
Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.
IMPORTANT: Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Drug or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
New Clients
What to Expect
Take A Tour
Make an Appointment
New Client Info
About Us
Our Hospital
Team
Contact
Services
All Services
Medical Services
Surgical Services
Wellness and Vaccination Programs
Anesthesia and Patient Monitoring
Breeding Services
Health Screening Tests
Nutritional Counseling
Pet Supplies
Preventive Services
Additional Services
Pet Health
Pet Insurance
Educational Articles
How-To Videos
Pet Health Checker
Links
News
Contact
Shop Online
P:
(260) 244-5626
E:
[email protected]
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