PetCare Veterinary Clinic

1022 Douglas Blvd
Roseville, CA 95678

(916)791-9599

www.petcarevetclinic.com

Prescription Refills

In our ongoing effort to make your pet's health care as convenient and easy as possible, you can 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, so please allow 24-48 hours for refills.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up.

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 Type	Phone Number

Evening Phone (required)
Phone Type	Phone 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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HOURS

Day	Open	Close
Monday	8:30am	5:30pm
Tuesday	8:30am	5:30pm
Wednesday	8:30am	5:30pm
Thursday	8:30am	5:30pm
Friday	8:30am	5:30pm
Saturday	Closed	Closed
Sunday	Closed	Closed

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