Prescription Refills

Thank you for your request. In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now request a refill for your pet's prescription by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by a doctor. 

If your pet is currently on the medication(s) you are requesting, please provide both the dosage and frequency given.

Unless you are contacted by someone in our office, your request will be ready for pick-up in 24 hours.  Please remember, you may also call our refill line directly at 662-3589 24-hours a day.  If you would prefer to have the prescription mailed to you, please mention this information in the additional information area.

Form - Prescription Refills Online

Have we seen your pet within the last year? (required)
Yes
No

Dispensing Policy

Name (required)
First Name (required)
Last Name (required)
Client Identification #:

Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
E-Mail Address (required) :
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Prescription Medication Requested

Prescription Food Requested

Is your pet currently on this/these medications?
Yes
No

What day, date & time would you like your request readay for pickup?

Additional Comments / Questions



              
                      "Always the Patient's Advocate"
                         Orchard Park Veterinary Medical Center ♦ 3930 North Buffalo Road ♦ Orchard Park, NY 14127
                        Phone: (716)662-6660 ♦ Fax: (716) 662-5572 ♦ contact@opvmc.net    

Interactive Map : Google / Mapquest / Yahoo!

http://www.evetsites.com