Refill Request Form

Save time getting your next prescription! Complete our online refill form and our pharmacist will review your request.

Refill Request Form

Please fill out this form as completely and accurately as possible so we can more easily streamline the refill process.

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By selecting YES - I am agreeing that my pet can wait AT LEAST 72 hours for these medications and that I understand that all medication refills MUST go through a veterinary and that time frame can take up to 72 hours before my pets chart can be reviewed. If this is an URGENT REFILL, please call us at (541) 924-1700.

REQUESTED PRESCRIPTION REFILLS

Please list the names, dosages and quantities of the medication(s) you are requesting.

List the name of prescriptions

Please list the names and strengths of any other medication your pet is currently receiving.
If you have noticed any changes in your pet’s health or behavior, please comment in the box below.