Refill Request

Refill Request Form

Unless it is an emergency, please allow 2 business days for refill requests to be processed. You will be notified by email, phone or text message when your request has been processed. We can refill prescriptions for patients only if a current veterinarian/client/patient relationship (VCPR) exists. Our practice defines a current VCPR as our veterinarian having seen the patient for a physical exam within the past year. You can read our full prescription policy here.

Contact Information

Name *

First

Last

Primary Phone Number *

Email *

Cat's Name *

How would you like your cat’s medication(s) refilled? *

Pick up medication at Atrium Cat Hospital
Submit through MyVetStoreOnline for home delivery
Submit through Brava Compounding Pharmacy
Pick up printed prescription at Atrium Cat Hospital to be filled elsewhere
Mail printed prescription to my home address to be filled elsewhere

Medication Information

Fill in the medication information below OR upload a photo of the prescription label with the patient name, medication name and strength and prescription instructions clearly visible.

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

Medication Requested (name and strength) *

Current Prescription Instructions *

Does your cat receive the medication exactly as prescribed? *

Notes for Staff