Prescription Request

Approval of your horse's medication refill may take up to two (2) business days, so do not wait to request. The office will text you when it is ready to pick up. We are open Mon-Fri, 8 am to 5 pm, with some holidays being an exception.

Remember that we do need to have a valid Veterinary Patient Client Relationship (VPCR) in order to fill medications for your horse. This means we need to have seen your horse for an exam within the last 12 months. If you are calling close to this annual date we may need to get another appointment scheduled before filling your medication. 

Also, please note, that once medications have left our office they may not be returned. This is due to regulations with the Oregon Veterinary Medical Association. We may accept medications for destruction or disposal purposes, but not to restock or for a refund.

These are laws our doctors must follow to keep their veterinary license so they can keep serving you and our community. 

Thank you for your understanding.

Sign in to Google to save your progress. Learn more
Email *
Your Name - First and Last *
Horse Name
*
What medication are you seeking?  *
What strength?  *
What quantity?  *
What dose is your horse currently on?  *
When are you hoping to pickup?    *
Date of Request *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Black Diamond Equine Veterinary Clinic.

Does this form look suspicious? Report