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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.
Please select a location:
*
East West Veterinary Care Center
South West Veterinary Care Center
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Drug or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
Home
East West
About East West Veterinary Care Center
Location & Hours
Services
Alternative Therapy
Anesthesia
Avian Services
Boarding
Exotic Services
Spa Services
Screening Tests
Medical Services
Nutrition
Preventive Services
Surgical Services
Wellness Care
Additional Services
South West
About South West Veterinary Care Center
Location & Hours
Services
New Clients
What To Expect
Payment Options
Forms
Testimonials
Pet Health
Pet Health Library
Pet Health Checker
Breed Info
Videos
News
Links