Mentor Animal Hospital

6231 Reynolds Road
Mentor, OH 44060

(440)257-4646

www.mentoranimalhospital.com

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. We will also inform you of the total cost of the prescription.  If you would prefer to have the prescription mailed to you, please mention this information in the additional information area. 

Kindly give us 24 hours notice for online refill requests.  For more urgent requests please call us at 440-257-4646.

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)

How would you like to receive the prescription? (required)

Pickup at Mentor Animal Hospital
Sent to my Preferred Pharmacy


(Preferred Pharmacy) Which pharmacy would you like the prescription sent to? (Name, Address, etc.)

Additional Comments / Questions


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