Rx Request in Albany, OR - Rivers Edge Pet Medical Center

Requests can take up to 24-48 hours to receive a response. Our staff will contact you once the Veterinarian has reviewed and responded to your prescription request. If this is an urgent matter or a new prescription, please call into the clinic at 541-924-1700.
Prescription requests have the potential to be declined by our Veterinarians. We do require an annual exam for all medications and require current lab work for some prescriptions.
If you have a Veterinarian that your pet sees for routine care, please call your regular veterinarian for prescription refills.
CLIENT AND PATIENT INFORMATION
Your Name*
First Last
Pet's Name*
Date Requested*
Email*
Phone*
Best Time To Call*
Alternate phone number*
Receiving the Meds*
REQUESTED PRESCRIPTION REFILLS
Please list the names, dosages and quantities of the medication(s) you are requesting.

List the name of prescriptions

Medication Requested	Dosage Size/ Strength	Quantity Requested	How is Medication Given (by mouth, subcutaneously, rectally, applied to skin, applied to ears, or other -- if other, please explain)	How is your pet doing on this medication? Do you have any concerns about this medication?

YOUR PET'S CURRENT MEDICATIONS
Please list the names and strengths of any medication your pet is currently receiving.
COMMENTS
If you have noticed any changes in your pet’s health or behavior, please comment in the box below.
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CLIENT AND PATIENT INFORMATION