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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: 812-324-8427

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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