Request a Medication Refill

Prescription Refill Request Form
Name
Name
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  • Please give 24hrs for refills to be completed. If needed sooner, please call 919-488-5300
  • Requests will be filled at Companion Animal Hospital ONLY. If you need medication called into an outside pharmacy, please call 919-488-5300
  • Refill requests are only for existing patients that have already been prescribed the medication
  • New medication requests require exam
  • Heartworm medication requests require a Heartworm test within the previous year
  • All refills require that the patient be up-to-date on annual examinations in order to maintain the veterinary-client-patient relationship (VCPR)