Prescription Request Form

Prescription Request Form

Save time during your upcoming appointment! Before your appointment, fill out the necessary documents online at any time from any device.

doctor seeing a dog

Prescription Request Form

Please fill out this form as completely and accurately as possible so we can get to know you and your pet(s) before your visit.

Prescription Request

In our ongoing effort to make your pet’s health care as convenient and easy as possible, we provide the following form for you to submit a refill request of your pet’s medication(s). A technician and/or doctor will review your request and make a determination regarding approval. In the event we cannot fill your request, we will contact you directly to discuss why and available options. Please be sure to provide the best contact number where you can be reached in the event we need to speak with you directly.

We will notify you via email or phone when your pet’s prescription is approved and ready. If you have requested to pickup at a pharmacy, please call the pharmacy to ensure they have your prescription ready.

Please be advised: Providing quality health care requires that we only prescribe to active patients who have had a full physical exam within the last year. If it has been longer than a year since we’ve given your pet a nose to tail wellness exam, we will need to schedule an appointment. This would be true for any veterinarian, as it is required by both our medical ethics and the law. We apologize for any inconvenience and thank you for understanding. Your pet’s health is our top priority.

Please allow CAC 24 hours to process your refill requests. Requests made on weekends may not be addressed until Monday. Prescriptions with no refills available may need more time to process in order to get approval from the prescribing doctor and may take up to 3 business days. 

Please submit the information below and we will review your request as soon as possible: