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Request a Refill

Please allow up to two business days for your refill request to be reviewed, filled and available for pick-up. If for some reason we cannot process the refill, someone from our staff will contact you. For safety, we review your pet’s records before refilling any orders.

    Client and Patient Information
    Your First Name:

    Your Last Name:

    Pet's Name:

    Date Requested by:

    Your Email:

    Your Telephone Number:

    Best Time To Call:

    Requested Refills
    Product
    Dosage & Strength
    Quantity

    1:
    Medication
    Dosage & Strength
    Quantity

    2:
    Medication
    Dosage & Strength
    Quantity

    3:
    Medication
    Dosage & Strength
    Quantity

    4:
    Medication
    Dosage & Strength
    Quantity

    5:
    Medication
    Dosage & Strength
    Quantity

    Comments



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    1849 Highway 11
    Lanesville, IN 47136
    t: 812-952-3643

    Hours:
    Monday 8:30am - 6pm
    Tuesday 8:30am - 6pm
    Wednesday 8:30am - 6pm
    Closed on Thursday
    Friday 8:30am - 6pm
    Saturday 8:30am-12:30pm

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