Pharmacy Refill Request

For Gainesville Patients ONLY

This form is for patients seen in Gainesville only. UF Veterinary Hospital at the World Equestrian Center should call (352) 414-3858 for refills.

Is your pet ready for a refill? Please complete this request form and we’ll start working on it! Please allow up to 72 hours for our pharmacy team to complete your request.

Facebook

This field is for validation purposes and should be left unchanged.

Client's name:(Required)

First Last

Preferred phone number:(Required)

Pet's name:(Required)

Drug name and dosage form (tablet, capsule, liquid?)(Required)

RX number (if available):

Does medication need to be shipped? Medications may only be shipped within Florida.(Required)

Yes

Shipping address:

Street Address Address Line 2 City State ZIP Code

Picking up? To save you time, we’ll ensure your pet’s medication is in stock and ready. Please wait for confirmation from our pharmacy team prior to pick-up!

Preferred pick-up date and time:

Comments for pharmacy staff:

Veterinary Prescription Disclosure

Florida law gives the veterinary client the option to:

Receive a written prescription for medication that can be filled at the pharmacy of your choice; or

Have the prescription filled at the veterinary establishment, if the establishment is able to fill the prescription.

For Gainesville Patients ONLY

Veterinary Prescription Disclosure

IFAS

College of Veterinary Medicine

Animal Airwaves