Prescription Refill Request Form

Save time by completing your prescription refill request form online from any device.

a dog and a cat

Prescription Refill Request

Please fill out this form as completely and accurately as possible to prevent delays in fulfilling your prescription refill request.

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Full Name
Picking up from Veterinary Referral & Critical Care?

Please allow 48 hours for refill requests. If you are completely out of medication for your pet, please give us a call at (804)784-8722 so that we may expedite your request.