Medication Refill request

Fill out this form to request a medication refill that you either pick up or that we ship to you. Shipping is 100% free on all orders.

Owner name

Pet name

Medication #1 name

Pill/tablet/etc. size (optional)

Quantity

Medication #2 name

Pill/tablet/etc. size (optional)

Quantity

Medication #3 name

Pill/tablet/etc. size (optional)

Quantity

Medication #4 name

Pill/tablet/etc. size (optional)

Quantity

Medication #5 name

Pill/tablet/etc. size (optional)

Quantity

Pickup or delivery

Pickup order Ship to me

Address (if delivery order)

Payment

Pay on pickup Charge card on file Send me an invoice Send me an estimate first

Other comments (e.g. pickup time of day)

Monday-Thursday: 8:30am-5pm

Friday: The service is usually closed, but staff will respond to messages, ship medications, and coordinate medication pickups.

Special hours: one week per month, when Dr. Layne is with us, we are open Fridays, Saturdays. and weekday evenings until 8 PM.