Animal Medical of Chesapeake

921 N Battlefield Blvd
Chesapeake, VA 23320

(757)548-2000

www.mypetclinic.net

Prescription Refills

You may request a medication refill by calling the office directly, submitting this form online, or by filling out and faxing this form to (757)-548-2090. Please allow at least 2 business days to process your refill request. All refill requests will be evaluated and approved by the doctor based on written prescription in the patient file.

Please Note: By law, we can only refill medications up to 1 year following the last examination date. Many conditions require more frequent evaluation for medication titration, and will be refilled up to the date of the recommended recheck evaluation.


 

Prescription Refills Online

Name (required)
First Name (required)
Last Name (required)
Patient Name (required)
First Name (required)
Last Name (required)
Daytime Phone (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
Name of Medication (required)

Quantity (required)


Check the reCAPTCHA to ensure you are not a robot: