Prescription Request Form Have we performed a physical exam on your pet within the last year? Yes No Your name(Required)Your email(Required) Your phone(Required)Your pet's name(Required)Medication name(Required)Medication strength(Required)Medication dose(Required)How much do you need? (months/doses)(Required)Which pharmacy do you prefer?How do you get the medication? From us directly From a pharmacy (called in by us) How would you like to get your prescription? Home delivery ($20) Pick up from Maybank Mobile basket at Nelson Animal Hospital (free) Additional commentsA physical exam is required annually in order to process prescription refill requests. Please request a booking to schedule an in-person appointment.
