Medication Refill Request Form

Refill requests require veterinarian approval. Please allow 24–48 hours for processing. Some medications require an exam or lab work before they can be refilled.

Please note: If your pet is experiencing an emergency, please click here for immediate instructions.

Hours:

Mon - Fri 8:00 AM - 5:00 PM
Sat/Sun Closed
After-Hours Emergency Click Here

Medication Refill Request Form, Muirfield Animal Hospital, Dublin Ohio

* Required fields

Pet Parent Information

First Name

Last Name

Email Address

Phone

Pet Information

Pet Name

Species

Medication Information

Medication Name

Strength / Dose (example: 25 mg/ 1 tablet)

Quantity Requested

How much medication is left?

How would you like to receive your medication? *How would you like to receive your medication? *Pick up at Muirfield Animal HospitalPet Online Pharmacy - Muirfield Animal HospitalPet Online Pharmacy - OtherHuman Pharmacy Call-In

If you chose "Other" for online Pharmacy or "Call-In", you must specify where here:

Other online pharmacy or pharmacy call-in

Pet Health Update

Has your pet had any new symptoms or changes in condition?

Additional notes for our veterinary team (optional)

Disclaimer

Refill requests require veterinarian approval. Please allow 24–48 hours for processing. Some medications require an exam or lab work before they can be refilled.Refill requests require veterinarian approval. Please allow 24–48 hours for processing. Some medications require an exam or lab work before they can be refilled.*I understand refill requests may take up to 48 hours to process.

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