Carrie Williams, DVM

Prescription Requests

In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now request your pet's prescription or food order by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by a doctor.

Remember to indicate whether you prefer home delivery or to pick up the prescription at our office. 

We will notify you via email or phone when your pet's prescription is approved. We will also inform you of the total cost of the prescription, and will request a credit card number at that time.

 

Form - Prescription Requests Online

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
E-Mail Address (required) :
Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Heartworm Medication :
Flea/Tick Medications :
Other Medication/Food: List the medication name, strength, & amount desired (ie 30 tablets/20# bag)

Home Delivery Option (required)
(Choose One)
Home delivery
Office pick up

Additional Comments / Questions


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