Prescription Refills


In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now request a refill for your pet's prescription by submitting the following form. Please be sure to fill in all the requested information.

All prescription refills must be approved by a doctor and the doctor can only legally authorize a refill if we have seen your pet in the last year.  If it has been more than one year since your pet's last exam, please use the appointment form to request an appointment.

We will notify within one business day you via email or phone when your pet's prescription is approved and ready to be picked up.  If you do not hear from us, it is likely because we did not receive your request.  Please let us know so we can figure out why our computers aren't communicating. 

If you would prefer to have the prescription mailed to you, please mention this information in the additional information area.

 

Form - Prescription Refills Online

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
E-Mail Address (required) :
Daytime Phone
Phone TypePhone Number
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Sex (required)
Male
Female

Age: Years, Months

Have we seen your pet within the last year? (required)
Yes
No

Medication Requested (Name, Concentration, Amount) (required)

How much and how often have you been giving the medication? (required)

How would you like to receive the medication? (required)
Pick up at CAWC
Call into local pharmacy
Written script
Mail

If you chose "Call into pharmacy", which one?

Additional Comments / Questions


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