1317 Bayswater Ave.,   Burlingame, CA   94010
Monday - Friday:   8am - 5:30pm,   Saturday:   8am - Noon

FDA Announcement on Flea Medications

Prescription Refills

Please fill out this form and we will contact you regarding your prescription refills.
Give us 48 hours to get back to you - If you need medications urgently, please call us instead at (650) 344-5711.

Underlined fields are required.

CLIENT AND PATIENT INFORMATION

REQUESTED PRESCRIPTION REFILLS

Please list the names, dosages and quantities of the medication(s) you are requesting.

Medication Requested Dosage Size / Strength Quantity Requested
Drug 1:
Drug 2:
Drug 3:
Drug 4:

COMMENTS

If you have noticed any changes in your pet’s health or behavior, please comment in the box below.

Image Verification

Duplicate the code to the left (Case Sensitive)