Prescription Refill Request Form — Affectionately Cats

Prescription Refill

IMPORTANT NOTICE:
ALL PRESCRIPTION REFILLS REQUIRE A 48-72 HOUR TURN AROUND TIME

A $20 Rush fee will be applied to all same-day medication requests.

Please use the form below to request a refill of your cat's current medication or prescription diet food.

After submitting this form, your request will be reviewed by Affectionately Cats staff. Please allow one business day for order processing.

NOTE: We can only refill prescriptions for patients that we have seen within the last 12 months. If your pet is being treated for chronic conditions, some medications require more frequent evaluations from their veterinarian.

Client's Name

First Name

Last Name

Pet's Name

Phone

(###)

###

####

Medication or Prescription Diet Name

Quantity/Dosage

Please list how much of this item you would like for our team to dispense, as well as how often you are giving it to your pet.

Urgent Refill Request

Medication refills needed same-day require a $20 Rush fee. Please check the box below if you would like this medication ready before the end of the current business day. (Mon-Fri)

Please Fill Urgently

Additional Comments

If you are needing multiple items for your cat, please list the other items you are needing here.

Prescription Refill

IMPORTANT NOTICE:ALL PRESCRIPTION REFILLS REQUIRE A 48-72 HOUR TURN AROUND TIME

IMPORTANT NOTICE:
ALL PRESCRIPTION REFILLS REQUIRE A 48-72 HOUR TURN AROUND TIME