To request a prescription refill, please fill in the information fields below and click on SUBMIT. If a refill is possible it will be ready for pick up after Noon on the following business day. If you need the prescription sooner, please call our office directly at

(585) 388-1070

 

If your pet is on medication continuously he/she must be reevaluated by one of our doctors every six months or more often if the doctor feels it is necessary. Each patient is treated individually for their specific condition.

 

Have we examined your pet in the last month?

Yes

No

 

If the answer to this question is No, please call to see if a visit is necessary first. If the answer is Yes, please continue.

 

Owner’s Name and Address:

 If there is a problem filling this medication request how can we contact you?

E-Mail Address:

 - or -

Daytime Phone:

 

 

Pet’s Name:

 

 

Medication being requested:

 

Quantity Desired:

 

Requested Pick-Up Date:

 

 

I will pick up my medication at the office

 

Please mail my medication to my home address for an additional fee of $6.00. I realize it may take one week  to receive my medication. I will authorize my credit card to be used by the hospital, for this transaction only, before the medication will be mailed. The hospital will call me for my credit card information.