Veterinary Medical Referral Service

P.O. Box 65061
University Place, WA 98464

(253)475-5301

www.vmrctacoma.com

Prescription Refills 


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.  Please allow 24-48 hours for your refill to be processed.

A member of our staff will contact you when the refill has been completed.

Please contact the office if you have any questions.  We can be reached by telephone at
253-475-5301 or e-mail at
receptionist@vmrctacoma.com.

 

 

Prescription Refills Online

Client Information (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
E-mail Address
E-Mail Address :
Primary Phone
Phone TypePhone Number
Alternate Phone
Phone TypePhone Number
What is the best method to contact you regarding this refill request? (required)
Via e-mail
Home Phone
Cell Phone


Patient Information
Pet's Name (required)

Sex (required)
Male
Female


Age:

Medication Requested (required)

Additional Comments / Questions


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