Animal Medical Services P.C.  
             "Our family includes you and your pet."

Prescription Refills

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 Dr. Butler.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. We will also inform you of the total cost of the prescription. At that time you will have the option of paying over the telephone with a credit card. This is required if you would prefer to have the prescription mailed to you. Otherwise payment is expected when you pick up the medication. PRESCRIPTIONS WILL BE RESTOCKED AFTER 72 HOURS. IF YOU FAIL TO PICK UP YOUR MEDICATION, YOU MAY BE CHARGED A RESTOCKING FEE.

Form - Online Prescription Refill Form

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
Pet Name (required)

Sex ( Male M / Female F / Neutered male NM / Spayed female FS ) (required)

Age (required)

My pet has been seen by Dr. Butler in the last 12 months.
My pet has NOT been seen by Dr. Butler in the last 12 months.
Medication Requested (required)

Additional Comments or Questions

Please mail this prescription to me at the above address.

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