Southwest Veterinary Hospital Prescription Refills

Southwest Veterinary Hospital now offers two convenient ways to order!

Home Delivery

If you would like to refill your pet's prescription or to order dietary or flea products and have them delivered directly to your door, you can do that here.

Office Pick-up

Otherwise, you can still order your prescription refills like you've always done by using the form below, and pick them up at the office. The refill must be approved by the doctor. It is important that you fill in all required information. Please allow one full business day to process your request. Please see our hours of operation.

If there are any problems with refilling the prescription, we will contact you via phone using numbers you provide on the form. If this is an emergency or you need faster service, please call our office. At that time, we will inform you of the total cost of your pet’s prescription and will request a credit card number for payment.

Please Note: This form will need to be filled out for each pet individually.

First Name:

Last Name:

Pet's Name:

Street Address:

Town/City:

State/Province:

Zip Code/Postal:

Email Address:

Daytime Phone:

After Hours Phone:

Subject:

Species:
Canine Feline Other

If Other, please list:

Prescription #1 (Please list name of the medication and quantity):

Prescription #2 (Please list name of the medication and quantity):

Prescription #3 (Please list name of the medication and quantity):

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