"*" indicates required fields We respectively request 72-hour notice for prescription refills. In order to continue to serve you best, please allow us up to 72 hours on all medication and prescription food refills. This is very important as all medications, even refills, must be reviewed and approved by our veterinarian. If you would like your medications sooner, a RUSH FEE will apply. This policy assures your pet is taking the correct medications. In addition, many prescriptions may require periodic blood work or even a follow-up veterinary visit. Owner's Name* First Last Phone*Date* MM slash DD slash YYYY Medication and Amount Requested*MedicationAmount RequestedDate medication was last filledDosage Owner is currently administering Add RemoveAny other current MedicationsPatient’s last office visit/PE(if known)Patient’s last blood work(if known)Patients last weight(if known)Owner requests RUSH (Additional fee will apply) or ok with 72-hour turnaroundEmailThis field is for validation purposes and should be left unchanged.