Canyon Hills Animal Clinic - Veterinary Hospital in Yorba Linda, CA serving pets and owners

If you are a client at Canyon Hills Animal Clinic and you would like to refill a prescription, please fill out this order form.

After receiving your order form, a staff member will contact you regarding your prescription. Your prescription will be available for pickup at the front reception desk.

If this is an EMERGENCY, please call: 714 692-8232.

Thank you.

Your First Name

Your Last Name

Pet's Name

Phone

Please choose your Veterinarian:

Prescription Request

Medication	Dosage	Quantity

For information about your pet's medication, click here.

Phone number we can reach you at if we have a problem filling your prescription:

Comments

* The refill form is for the convenience of our clients that have previously been given a medication by one of our veterinarians. The prescribing veterinarian will review the request, and you will be contacted if it cannot be filled for some reason. An e-mail confirmation will be sent for filled requests.

Federal and State laws as well as good medical practice prohibit us from dispensing prescription medications without prior examination of your animal, and current knowledge of your animals health

Federal and State laws and good medical practice prohibit us from dispensing or refilling medications that were originally ordered by another veterinarian. We will be happy to dispense any needed medications after examining your animal.