Food and Medication Request

IMPORTANT - PLEASE READ!

Please note that this medication form is for long-term medications that have been approved. Our team may contact you for additional information if required. Depending on the medication requested, an appointment may be necessary in order to provide it.

To ensure your pet's well-being, annual visits are required for long-term medications. We kindly ask for your understanding as we request 72 hours to process medication requests. Please note that special orders or compounded medications may require additional time to ensure accuracy and effectiveness.

Your pet's health and safety are our top priorities, and we appreciate your cooperation in this process.

Full Name*

Email Address*

Address*

City *

Province *

Postal Code *

Phone *

Pet's Name *

Medication or Food Name*

Dosage/Size/Strength*

Medication or Food Name

Dosage/Size/Strength

Medication or Food Name

Dosage/Size/Strength

Which veterinarian prescribed the medication?

Refill Quantity

How many days do you have left for the medication?

Preferred date for pick-up

Preferred Contact method for pickup

Phone
Email
Text

Location

Security Question*

I HAVE READ AND UNDERSTOOD THE PRIVACY POLICY *

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