Prescription Refills

***Important message to clients: If you are requesting a refill of Rimadyl, Simparica, or Revolution please visit this page to learn more and sign up for the Zoetis Petcare Rewards program! Earn points that are redeemed toward reloadable Visa prepaid cards that you may use to pay for products and services at our practice.
Thank you for requesting a refill of your pet's medication. Please refer to your pet's current prescription vial for the required information on this form. Please understand that there is a 24-48 hour turnaround on all prescription requests. You will receive a call when the prescription is ready to be picked up, or if we have any questions. Please direct any questions about your refill to refills@palisadesvetclinic.com

Full Name (required)

Pet's Name (required)

Email (required)

Phone Number (required)

Medication to be Refilled (required)

Strength of Medication e.g., 10mg (required)

Quantity Requested (required)

Amount Currently Giving to Patient (required)

Special Notes