Prescription Refill Request We want to make refilling your pet's prescriptions fast and easy. Fill out the form below and we will have your pet's medications ready and waiting for pickup within the next 24 hours. Your name*Pet Name(s)*Medication or Food Refill Requested*You may also enter the Rx # located on the upper left corner of the prescription label.Amount Requested*(i.e. 1 month, 2 week supply, etc.)Additional InstructionsContact Preference* Please E-MAIL me when this is ready for pickup. Please CALL me when this is ready for pickup. Please TEXT me when this is ready for pickup. Do not contact me. I will pickup after 24 hours. Phone*Email This iframe contains the logic required to handle Ajax powered Gravity Forms.