Client Information

First Name *

Last Name *

Email Address *

Phone Number *

Pet Information

Pet Name *

Species *

Birthday

Gender

Male

Female

Breed

Color

Rx Information

Medication or Diet

Strength (ex. 100mg) *

Dosage/Directions (ex. ½ tablet every 12 hours) *

Quantity *

Additional Information

For any refills your pet must have a current exam, It is California state law. The law requires a valid client-patient-doctor relationship and a physical examination for that problem within 1 year of the prescription. *

I understand

Please allow up to 48 hours for your refill request to be reviewed, filled and available for pick-up. If we cannot process the refill, someone from our staff will contact you. For safety, we review your pet’s records before refilling any orders.

Spam Blocker

Refill Request

Client Information

Pet Information

New Patients Welcome