Silver Creek Animal Clinic P.C.

P.O. Box 409
Silverton, Oregon 97381

(503)873-5701

silvercreekanimalclinic.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, though your pet may have pre-authorized refills in some situations. 

We will notify you by phone when your pet's prescription is approved and ready to be picked up.  If you need to have the prescription mailed to you, please note that in the additional information area. Our staff will need to contact you by phone to verify that your address on file is current, and facilitate payment over the phone.

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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