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Prescription Refill Request Form (Office Pick up Only)

Request Your Pet's Medications

Use the form below to request medications for pickup at our Coastal Veterinary office. If you wish to order medications for home delivery through our online pharmacy, visit our online pharmacy.

Important Information:

  • Save Time: Submitting this form helps streamline the pickup process. However, please note that online discounts and specials do not apply to in-office orders.
  • Processing Time: Allow up to 48 hours for order processing. Please wait for confirmation before coming to the clinic to pick up your medications.
  • Examination Requirement: Some prescriptions may require an examination to ensure your pet is healthy enough for the medication. This helps confirm that the treatment is appropriate for their current condition.

Reminder: Orders are not confirmed until you receive notification from a staff member via phone or email.

Thank you for trusting Coastal Veterinary with your pet's care!

    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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