Prescription Refill and Food Order Request Form

Prescription and Supplement Request Form

Please use the form below to request your prescription refill or supplement. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.

Note: Some prescriptions will require an examination of your horse prior to re-filling.

Many prescriptions require your horse to be examined before dispensing. This ensures that your horse is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your horse’s current condition.

IMPORTANT: Prescription Refills and Supplements are not confirmed until you have received notification. A staff member will contact you by phone or email.

Name*
First Last
Email*
Phone*
Horse Name*
Drug or Supplement Name*
Dosage/Size/Strength*
Quantity*
Additional Comments*

Prescription and Supplement Request Form

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