New Clients Prescription Refill Clients may use this form to request a Prescription Refills. Pending approval by a doctor, your pet's prescription will be ready on the next business day after noon. If you need your medication sooner, or request special mail delivery, please indicate below in the Comments section and we will call you back for more details. Client Name Email Phone: Area Code Phone Pet Name Medication #1 Strength Quantity Please indicate how often you are giving this medication and in which eye Medication #2 Strength Quantity Please indicate how often you are giving this medication and in which eye Medication #3 Strength Quantity Please indicate how often you are giving this medication and in which eye If called into an outside pharmacy, please provide the following: Pharmacy Name Pharmacy Phone: Area Code Phone I prefer to the medications to be: Mailed      Held for pickup Comments