Premium Vet Care - Refill a Prescription
Please note, it could take up to 2 business days for your refill request.
Client Name
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First Name
Last Name
Pet's Name
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Phone Number
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Please enter a valid phone number.
Name of Medication
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Medication Dosage (mg. strength)
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How are you currently giving this medication? (e.g. 1 tablet twice daily)
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What quantity of medication are you requesting?
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How long has your pet been taking this medication?
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What other preventative medications is your pet taking (flea, tick, heartworm prevention, etc.)?
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What other medications is your pet taking (other than the above)?
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What date do you need this medication by?
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Please provide the pharmacy name and fax number this prescription needs to be sent to in order to be filled.
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I understand it could take up to 2 business days to get my refill request.
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Yes, I understand
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