Prescription Refills - Hastings Veterinary Hospital in Stirling, ON

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. We will also inform you of the total cost of the prescription, and will request a credit card number by phone at that time. If you would prefer to have the prescription mailed to you, please mention this information in the additional information area.

Prescription Refills Online

Name
First Name*
Last Name*
Address
*
Street Address Address Line 2 City State / Province ZIP / Postal Code
E-Mail Address*
Daytime Phone
Phone Type*
Phone Number*
Evening Phone
Phone Type*
Phone Number*
Pet's Name*
Sex:*
- Male
- Female
Age : Years, Months
Have we seen your pet within the last year?
- Yes
- No
Medication Requested*
Additional Comments / Questions
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Prescription Refills - Hastings Veterinary Hospital in Stirling, ON

Prescription Refills Online

Name

Address

Daytime Phone

Evening Phone

Address

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