Veterinary Medical Referral Service

P.O. Box 65061
University Place, WA 98464


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



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)



Medication Requested (required)

Additional Comments / Questions

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