Prescription Refill Request
Please allow 1 - 2 business days for all stocked medications (in hospital), and 5 - 7 business days for all special order medications. You can request up to three medications per form. A separate form is required for each pet.  All prescription refills must be approved by a veterinarian - they will be reviewed after submission, before the prescriptions are refilled.

All parasite prevention medication (fleas, ticks, worms) should be ordered online at www.myVetStore.ca 
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Client's Name - First and Last: *
Phone Number: *
Email: *
Patient's Name: *
Species: *
Current Health Status
Please answer the following questions regarding your companion's current health status.
Is your companion currently experiencing inappetence (lack of appetite/decreased interest in food)? *
Is your companion currently experiencing any vomiting or diarrhea? *
Is your companion currently experiencing any change (increase or decrease) in water intake? *
Is your companion currently displaying any signs of lethargy or abnormal behaviour? *
Is there anything else your veterinarian should be aware of? *
Medications Requested
Please request each medication individually (up to three per form).
Medication #1 (Name and Strength/Concentration): *
How much of Medication #1 are you giving each time? (Number of tablets, volume of liquid, etc):  *
How often are you giving Medication #1? (Once a day, twice a day, every 8 hours, etc): *
Refill Amount Requested of #1: *
How much of this medication (#1) do you currently have left? (For ongoing medication, please indicate how many days of medication you have remaining). *
Medication #2 (Name and Strength/Concentration):
How much of Medication #2 are you giving each time? (Number of tablets, volume of liquid, etc): 
How often are you giving Medication #2? (Once a day, twice a day, every 8 hours, etc):
Refill Amount Requested of #2:
How much of this medication (#2) do you currently have left? (For ongoing medication, please indicate how many days of medication you have remaining).
Medication #3 (Name and Strength/Concentration):
How much of Medication #3 are you giving each time? (Number of tablets, volume of liquid, etc): 
How often are you giving Medication #3? (Once a day, twice a day, every 8 hours, etc):
Refill Amount Requested of #3:
How much of this medication (#3) do you currently have left? (For ongoing medication, please indicate how many days of medication you have remaining).
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