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Prescription Request
Are you a current client with us?
*
Yes
No
Unfortunately these products are only available to our current clients. Please contact our office to schedule an appointment if you would like to join our pet care family!
Client Name
*
First
Last
Phone
*
Where would you like to receive your prescription?
*
Pick up at clinic
Ship it to me
Call into other pharmacy
Shipping is free for orders over $50 otherwise a shipping fee applies. Prescriptions may be available at a lower price at Cryan than through another pharmacy - feel free to call to verify pricing!
Pharmacy Name
*
Pharmacy Phone
*
Shipping Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Name and strength of medication being requested
*
How much are you requesting?
*
1 month, 3 months, etc.
How much and how often are you using this medication?
*
How is your pet doing on this medication? Any side-effects noticed?
*
Picture of Label
You may upload a picture of the label you are requesting a refill for.
Do you need to request another medication?
*
Yes
No
Name and strength of medication being requested
*
How much are you requesting?
*
1 month, 3 months, etc.
How much and how often are you using this medication?
*
How is your pet doing on this medication? Any side-effects noticed?
*
Picture of Label
You may upload a picture of the label you are requesting a refill for.
Δ
Client Information Center
Online Forms
Resources
Prescription Refills
Rewards Center
Payment Options
About Us
Meet Our Team
Join Our Team
Services
Wellness Services
Boarding Services
Medical Services
Surgical Services
Emergencies
End of Life Care
Pet Memorial
Pet Health
New Puppy / Kitten
Pet Insurance Info
Pet Health Library
Pet Health Checker
News
Pet Food Recalls
Product Recalls
Contact Us
facebook
pinterest
instagram
yelp
phone
email