Providing compassionate behavioral care for people and their pets.

USE OUR ONLINE PHARMACY TO HAVE PRESCRIPTIONS SHIPPED STRAIGHT TO YOUR DOOR!

Pharmacy Refill Request Form

Please allow 3-5 business days to process.

Note that same day refills will require a 50$ emergency fee

Name

First Name

Last Name

Phone Number

Pet's Name

Date of Birth (Pet)

YYYY

Name of Medication

Medication Strength (e.g. 25mg, 50mg, etc.)

Quantity

Frequency of Administration (e.g. once or twice per day)

Pharmacy Name

Pharmacy Phone Number

Pharmacy City

State