Storybook Farm Veterinary Hospital   

634 Rowley Road      
Victor, NY 14564      
585-924-7740      

Prescription Refill Request Form

 

In order to serve you better, you may now request refills on your pet's medications online. Online requests will be processed the next business day (Monday-Saturday only).  If you need medication refills immediately it is best to contact the office directly. We also offer shipping on precriptions but do not currently take payment online. We will contact you for payment before shipping at the daytime contact number you provide.  There will be a nominal fee for postage added to medications that are shipped.

 

Client's Name

 

 

Pet's Name

 

 

Daytime Phone Number

 

 

Medication Name(s)

 

 

Pick-up or Mail

 

Pick-up
Mail to Owner

 

Mailing Address (if needs to be mailed)

 

 

Comments/Additional Information

 

 

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