Harbor Veterinary Hospital

2202 Soquel Avenue
Santa Cruz, CA 95062

(831)476-2202

harborvet.evetsites.net

Prescription Refills

In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now 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.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up.  If you would prefer to have the prescription mailed to you, please mention this information in the additional information area. 

If your refill is through a pharmacy outside of our office, requesting the refill through the pharmacy's refill request process will be faster and easier than using this form.  However refills requested  and approved through the pharmacy will not receive a phone call or email from us. Please do not request refills using both methods at the same time.

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 TypePhone Number
Evening Phone (required)
Phone TypePhone 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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