Help support heartworm positive pets at your local shelter!
learn more

We recommend requesting refills at least three business days before you run out, to make sure your pet never misses a dose. Please note that refill requests submitted over the Internet may take up to one additional business day to fill.

* Denotes required field.

Client Information:

* First Name:
* Last Name:
* Primary Telephone Number:
* Email Address:

Pet Information:

* Pet's Name:

 
* Species:

e.g. canine, feline, etc.
Age:
Breed:

Rx Information:

* Medication or Diet:

e.g. deramaxx
Strength:

e.g. 100mg
Dosage/Directions for use:

e.g. 1/2 tablet every 12 hours
* Quantity:

e.g. 30 tablets

Pickup Information:

* Date for Pickup:

e.g. Thurs July 20
Time of the Day:

e.g. after 12pm