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(402) 488-0993
7405 Pioneers Blvd F Lincoln, NE
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Prescription Refill and Food Order Request Form
Please use the form below to request your prescription refill or food item. 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 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.
Name
*
First
Last
Email
*
Phone
*
Pet Name
*
Drug or Food Name
*
Dosage/Size/Strength
*
Quantity
*
Additional Comments
*
Δ
Home
About
Our Team
Promotions
Careers
New Clients
New Client Registration Form
Take A Tour
Services
Wellness and Vaccination
Preventive Services
Medical Services
Surgical Services
Patient Monitoring
Small Animal Care
Pet Supplies
Additional Services
Pet Health
Pet Health Library
How-To Videos
Pet Health Checker
Pet Insurance Info
Pet Food Recalls
Product Recalls
News
Pet Portal
Download Our Mobile App
Payment Options
Contact
Request An Appointment
Refill Requests
Boarding Form
Pharmacy
twitter
facebook
google-plus