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Prescription Refill Request Form (Office Pick up Only)

Please use this form below to request your pet's medications from our Coastal Veterinary office. (If you are trying to place an order for medications through our online pharmacy for home delivery, visit https://coastalveterinaryde.vetsfirstchoice.com/)

This form will save you time when picking up your pet's medications from our office.  (Online discounts and specials will not apply.)  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 pet prior to re-filling.

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

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

    If hand written prescription is requested please indicated which outside pharmacy in "Other"
  • Coastal Veterinary Online Pharmacy
  • How much of the medication are you currently giving?
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