Prescription Refill Request Form

If your pet is running low on their prescription, you can request a refill using the form provided below. Be sure to complete this form with enough time allowed for our team to receive and review your request, so we can get your pet’s medication refilled in time. Please know that we may need to contact you if we have questions or if your pet needs to come in for a checkup.

Looking to order online? You can start here.

Have any questions? Call us today at (312) 767-4762.

RX Refill Request

Use the form below for pick-up orders.

*If you prefer to order online you can get started here.

*Refills take 24-48 hours. If it is needed sooner, please call the hospital.

Name

First

Last

Phone

Pet Name

Pet Weight

Pet Age

Medication or Prescription diet

Upload a photo of the current prescription

Maximum file size: 1.54MB

Quantity

When will you pick it up? (Prescription will be ready in 24-48 hours)

How would you like to be contacted when ready?

Phone Call

Text

Captcha

If you are human, leave this field blank.