Mon – Fri
Saturday

7:00am - 6:00pm
8:00am - 12:00pm

Prescription Refills

Please fill out this form and we will contact you regarding your prescription refills in 1-2 business days to let you know your refill is ready for pick-up. Please call our office at (585) 599–3148 for SAME DAY REFILLS.

Underlined fields are required.

CLIENT AND PATIENT INFORMATION

REQUESTED PRESCRIPTION REFILLS

Please list the names, dosages and quantities of the medication(s) you are requesting along with any changes that may have been made to the dose.

Medication Requested Dosage Size / Strength Quantity Requested
Drug 1:
Drug 2:
Drug 3:
Drug 4:

COMMENTS

If you have noticed any changes in your pet’s health or behavior, please comment in the box below.

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