Request a Refill Refill Request Form Name * Name First First Last Last Email * Phone * Preferred Contact Method * PhoneEmail Pet's Name * What is being refilled? * Strength * Quantity * Current treatment Instructions * Are you out of this treatment? * YesNo Comments 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 refills called into an outside service, please call 919-488-5300 Refill requests are only for existing patients. New requests require a pet exam Heartworm refill 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) Captcha Submit If you are human, leave this field blank.
