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(407) 217-7635
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Prescription Refill and Food Order Request Form
Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.
Note: Some prescriptions will require an examination of your pet prior to re-filling.
Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.
IMPORTANT: Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Drug or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
New Clients
Meet Dr. Qasim
Services
Advanced Imaging
Daycare & Boarding Services
Declaw Services
Dermatology
Emergency Vet Service
Flea Prevention
General Animal Dentistry
Health Certificates
Laboratory Services
Pet Microchip Services
Rabies Vaccinations
Spay & Neuter Services
Vaccinations
Wellness Exams
Testimonials
Employment
Pet Health
Blog
Dog Food Calculator
How-To Videos
Pet Health Checker
Pet Health Library
Shopping
Contact Us