Medication Refill Form Medication Refill Form Name * Name First First Last Last Patient's Name * Phone * Email * Type of Refill * - Select One -MedicationFood Name of medication (including strength) or food requested * Current dose/frequency that is being given * Quantity of medication * Bag size or amount of cans * In order to comply with recent laws passed in New York State (Buoy’s Law), our office now requires at least 48 hours notice for in-house medication and written prescription requests, and 72 hours notice for online pharmacy requests. While Buoy’s Law raises the bar of our already high AAHA standards in providing comprehensive information on all of your pet’s medications, it requires vastly more preparation time on our end. To prevent any delays in receiving your pet’s medication, please wait for communication from us that your pet’s medications are ready. We appreciate your understanding and cooperation! Captcha Submit If you are human, leave this field blank.