Haven Lake Animal Hospital

300 Milford Harrington Highway
Milford, DE 19963

(302)422-8100

www.havenlakeanimalhospital.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, and will request a credit card number by phone at that time. If you would prefer to have the prescription mailed to you, please mention this information in the additional information area.

Prescription Refills Online

Name (required)

First Name (required)	Last Name (required)

E-Mail Address (required) :

Phone (required)
Phone Type	Phone 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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At Haven Lake Animal Hospital, we understand that you may feel a bit overwhelmed by it all, but rest assured that we are here to help and guide you and your pet through the process and back to health. If your pet has not recently been in for an annual wellness exam or dental exam, is not current on his or her vaccinations, or has any other issues you are concerned about, please contact us to schedule an appointment.