Rx Refill - Riverside Cat Hospital

Riverside Cat Hospital

4632 OKEMOS ROAD
OKEMOS, MI 48864

(517)347-2287

www.riversidecathospital.com

Prescription Refill

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

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. Please allow at least 24 hours for us to prepare your prescription refill.

Rx Refill Form

Name (required)

First Name (required)	Last Name (required)

Phone (required)
Phone Type	Phone Number (required)

E-Mail Address (required) :

Pet's Name (required)

Medication to be refilled (required)

Current dose (strength) and frequency (required)

Please check if this medication needs to be filled at a human pharmacy

Name and phone number of the pharmacy

How would you like us to notify you when your pet's medication is ready? (required)

phone
e-mail

Prescriptions must be picked up within 7 days of approval unless other arrangements have been made.

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Riverside Cat Hospital

Prescription Refill

Rx Refill Form

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