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Foster Medication Refill Request
This forms serves as a medication refill request. Please allow 48 hours for all medications to be filled.
Pick hours will be:
Monday/Tuesday 12pm-6:30pm
Wednesday 1:30pm-6:30pm
Thursday/Friday 12pm-6:30pm
Saturday/Sunday 10am-4:30pm
Clinic phone number 520-724-5939 - please leave a voicemail.
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* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Foster Animal ID (ex. A123456)
*
Your answer
My foster is a:
*
Traditional Foster
Safety Net Foster
Pre-Adopt
Medication(s) requested that need a refill? ( If you need a refill of Prednisone, Prednisolone, or Fluoxetine (Prozac) these medications can NOT be interrupted or discontinued without tapering and vet approval.)
*
Your answer
I understand that the medication will be ready 48 hours after my request.
*
Yes
Required
I understand that the clinic may email me with follow-up questions and medication may not be refilled without this additional information.
*
Yes
Required
Additional notes or questions:
Your answer
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