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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
*
Home
New Clients
What to Expect
Take A Tour
Make an Appointment
Our Hospital
Emergency Procedure
Team
Locations & Hours
Special Events
Dominican Fall 2012 – Pictures
Dominican Spring 2012 – Pictures
Ontario Dominican Dog Reunion
Dominican Trip
FAQs
Pet Services
Anesthesia and Patient Monitoring
Exotic Pet Medicine and Surgery
Medical Services
Surgical Services
Breeding Services
Wellness and Vaccination Programs
Additional Services
Pet Health
Illustrated Articles
How-To Videos
Pet Health Checker
Links
News
Webstore