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24 Hour Emergency & Critical Care
Current Wait Time for ER: Minutes Please call us before coming in to discuss your pet's current condition.
Get in Line for the ER

Medication Refill Request

Medication refill requests take at least 72 hours to process. If the medication(s) need to be refilled sooner, you may elect to pay an expedited fee of $25 per medication to have them filled within 48 hours or less.

VSC Pharmacy Hours

Monday	8AM - 4:30PM
Tuesday	8AM - 4:30PM
Wednesday	8AM - 4:30PM
Thursday	8AM - 4:30PM
Friday	8AM - 4:30PM
Saturday	10AM - 6:30PM
Sunday	10AM - 6:30PM

Your Full Name*
Your Pet's Name*
Email*
Phone Number*
Has there been any change in your pet's health since they were last seen at VSC?*
- NO
- YES
What has changed about your pet's health since they were last seen at VSC?*
How would you like to submit your refill request?*
- Picture of the prescription label. (fast and easy)
- Completing our refill request form.
Are any of these medications prescribed by our Dermatology Department?*
- No
- Yes
Medication Label Picture(s)

Use the "+" to upload a picture of each prescription label you wish to refill.*

Please make sure the picture cleary shows the medication name.

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Maximum size: 250 GB

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Are any medications being given differently than on the label?*
- No
- Yes
Please provide the name of the medication(s) and the current directions that are different from the label(s).*
Medication #1
Name of Medication #1*
For example, Doxycycline.
Concentration/strength of Medication #1*
For example, 25mg.
Current Prescription Instructions for Medication #1*
For example, Give 1.5 tablets by mouth twice daily.
Prescribing Department*
Please choose the department that originally prescribed this medication.
Does Medication #1 need to be called into an outside pharmacy?*
- No
- Yes
External Pharmacy Name*
External Pharmacy Phone*
External Pharmacy Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Any additional medications?*
- YES
- NO
Medication #2
Name of Medication #2*
For example, Doxycycline.
Concentration/strength of Medication #2*
For example, 25mg.
Current Prescription Instructions for Medication #2*
For example, Give 1.5 tablets by mouth twice daily.
Prescribing Department*
Please choose the department that originally prescribed this medication.
Does Medication #2 need to be called into an outside pharmacy?*
- No
- Yes
External Pharmacy Name*
External Pharmacy Phone*
External Pharmacy Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Any additional medications?*
- YES
- NO
Medication #3
Name of Medication #3*
For example, Doxycycline.
Concentration/strength of Medication #3*
For example, 25mg.
Current Prescription Instructions of Medication #3*
For example, Give 1.5 tablets by mouth twice daily.
Prescribing Department*
Please choose the department that originally prescribed this medication.
Does Medication #3 need to be called into an outside pharmacy?*
- No
- Yes
External Pharmacy Name*
External Pharmacy Phone*
External Pharmacy Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you need any of these medications expedited ($25 fee per medication)?*
Expedited medication refills are filled within 48 hours or less and may be limited to a one-week supply if requested outside the original prescribing department's normal business hours.
PLEASE NOTE: Dermatology medications are not eligible for expedited service at this time.
Which medication(s) would you like to have expedited?*
- Select All
- Medication #1
- Medication #2
- Medication #3
Comments
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Comments
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