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Request a Refill

Please allow up to two business days for your refill request to be reviewed, filled and available for pick-up. If for some reason we cannot process the refill, someone from our staff will contact you. For safety, we review your pet’s records before refilling any orders.

    Client and Patient Information

    Your First Name:

    Your Last Name:

    Pet's Name:

    Date Requested by:

    Your Email:

    Your Telephone Number:

    Best Time To Call:

    Requested Refills

    Product

    Dosage & Strength

    Quantity

    1:

    Medication

    Dosage & Strength

    Quantity

    2:

    Medication

    Dosage & Strength

    Quantity

    3:

    Medication

    Dosage & Strength

    Quantity

    4:

    Medication

    Dosage & Strength

    Quantity

    5:

    Medication

    Dosage & Strength

    Quantity

    Comments



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    1849 Highway 11
    Lanesville, IN 47136
    t: 812-952-3643

    Hours:
    Monday 8:30am to 6:00pm
    Tuesday 8:30am to 7:00pm
    Wednesday 8:30am to 6:00pm
    Thursday 8:30am to 12:30pm
    Friday 8:30am to 6:00pm
    (Saturday and Sunday closed)

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