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

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* Denotes required field.

Client Information:

* First Name:
* Last Name:
* Primary Telephone Number:
* Email Address:

Pet Information:

* Pet's Name:

 
* Species:

e.g. canine, feline, etc.
Age:
Breed:

Rx Information:

* Medication or Diet:

e.g. deramaxx
Strength:

e.g. 100mg
Dosage/Directions for use:

e.g. 1/2 tablet every 12 hours
* Quantity:

e.g. 30 tablets

Pickup Information:

* Date for Pickup:

e.g. Thurs July 20
Time of the Day:

e.g. after 12pm