Southwest Veterinary Hospital, P.C.

250 E. Dry Creek Road
Littleton, CO 80122-2625

(303)794-2697

swvet.com

Prescription Refills

PLEASE NOTE: Per Federal and State law, we must have a full physical exam on record for your pet within the last 12 months. In addition, for certain medications there may be requirements for laboratory tests to protect your pets health.

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. The prescription refill must be approved by a doctor.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. We will also inform you of the total cost of the prescription, and will request a credit card number by phone at that time.  If you would prefer to have the prescription mailed to you, please mention this information in the additional information area. 

Due to concerns about the quality of medications from internet pharmacies, we do require that clients sign a waiver form in our office prior to us releasing those written prescriptions. For more information on the safety of on line pharmacies, please visit the Food & Drug Administration website.

 

Prescription Refills Online

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
E-Mail Address (required) :
Daytime Phone
Phone TypePhone Number
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Sex (required)
Male
Female


Age: Years, Months

Have we seen your pet within the last year?
Yes
No


Medication Requested (required)

Additional Comments / Questions


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