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      (541) 341-6558   |  4010 Donald Street  |  Eugene, Oregon 97405
   

 

Prescription Refill Request

Date
Pet name
Owner name(s)
Name of medication/mg
Quantity requested
Current dosage
Comments
How would you like
to be notified when prescription is ready?


*PLEASE ALLOW 24 HOURS FOR ALL REFILLS

 

 

 

 

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