Cummings Veterinary Hospital - Easton, PA - Rx Refill

Cummings Veterinary Hospital

5111 Church Road
Easton, PA 18045

(610)923-0393

www.cummingsvet.com

PRESCRIPTION REFILL FORM

Let us help you manage your pet's ongoing care; refills should be convenient, easy and reliable. Visit our Vets First Choice (VFC) Pharmacy link here, or on our home page, and order prescription medication, pet foods and more. If you select Autoship, shipping is free and you know your pet is covered. Of course, you can cancel it at any time, no hassle.
You receive the exact same, guaranteed, quality item from our VFC pharmacy as you do here at the hospital. Of course, you can cancel it at any time, no hassle.

If you prefer our in-house pharmacy and sales, please be sure to fill in all the requested information below, and we will get your items reviewed, filled, and ready for pick-up or mail-out!

We will notify you via email or phone when your pet's prescription is approved and ready. 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)
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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