Prescription Refill and Food Order Request Form

Prescription Refill Request Form

Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Note: Some prescriptions will require an examination of your pet prior to re-filling. Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.

Name:*
First Last
Email:*
Phone:*
Pet Name:*
Name of Prescription:*
(ex. Gabapentin 100mg)
How are you currently administering?:*
(ex. 1 capsule twice a day)
Quantity:*
Additional Comments/Questions:*
How would you like the prescription delivered?*
Written Prescription Fee*
An annual fee of $20/pet is required for providing written prescriptions or calling in prescriptions to outside pharmacies. Payment is required prior to us providing written prescriptions or calling them into pharmacies.

**If any medication(s) is/are not available through any of our pharmacies, the fee is inapplicable.
I agree to the policy and will provide necessary payment.
https://happierathomevet.com/prescription-waiver-form/

Contact Us

Reach out to us and we will be happy to answer any questions, discuss your pet’s health and book an appointment.

Mailing Address

P.O. Box 89
Bel Air, MD 21014

Contact

Phone: 443-966-4558
Email: info@happierathomevet.com

Hours

Monday – Friday:
9:00 am – 5:00 pm
Saturday:
Dental Procedures by appointment only
Sunday:
Closed