• CLIENT AND PATIENT INFORMATION

  • MM slash DD slash YYYY

  • REQUESTED PRESCRIPTION REFILLS

    Please list the names, dosages and quantities of the medication(s) you are requesting.
  • Medication RequestedDosage Size/ StrengthQuantity Requested 

  • YOUR PET'S CURRENT MEDICATIONS

    Please list the names and amounts of any medication your pet is currently receiving. Also include the time your pet last received each medication.
  • Medication GivenDosage Size / StrengthTime of Last Dose 

  • COMMENTS

    If you have noticed any changes in your pet’s health or behavior, please comment in the box below.
  • This field is for validation purposes and should be left unchanged.

Please allow up to 48 business hours for doctor approval prior to check out and delivery.

*All prescriptions, including heartworm preventatives, require doctor review and approval and a current yearly physical. For the safety of your pet, certain medications require blood testing and checkups at regular intervals in order for your pet to continue on the medication. Please remember that our doctors have scheduled appointments and surgeries each day that deserve their full attention therefore we require 48 hours to approve and fill your medication. Thank you!

*Prescription medications are regulated by the Federal Food And Drug Regulations and veterinary practices are subject to the same dispensing laws and accountability as human pharmacies. Any prescription medication that has left the building, regardless of whether or not it has been opened, cannot be returned.

Please note that all prescription medications are federally regulated. Pets must be a patient of Trout Lake Animal Hospital and current with an annual exam with us. For prescription changes or special requests, please call our office. Thank you