Prescription Refill and Food Order Form

Prescription Refill and Food Order Form

For fast and efficient refills of food and prescriptions please use this form to place your order.

New prescriptions require your pet to be examined.  Some repeat prescriptions also require your pet to be examined prior to re-filling as per the mandates of the College of Veterinarians of Ontario.


Online orders may require up to 48 business hours for processing and delivery. Please wait to receive an email or phone confirmation that your order has arrived to the clinic and is ready for pick up.

* Indicate Required Fields.

 

Owner's Name *

Your Email *

Your Address *

Your City*

Your Prov/State*

Your Postal Code/Zip*

Your Home Phone*

Your CellPhone*


Your Pet's Name

Your Pet's Weight

New Prescription
YesNo

Name of Drug #1 or Food Name

Name of Drug #2 or Food Name

Dosage/Size/Strength 1

Dosage/Size/Strength 2

Refill Notes