Litchfield Veterinary Hospital
Small Animal Medicine and Surgery
289 Torrington Road
Litchfield, CT 06759
860-567-1622 ph

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.

 

Form - 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) :
Home Phone
Phone TypePhone Number
How may we contact you today!

Pet's Name (required)

Sex (required)
Male
Female


Have we seen your pet recently?
Yes
No


Medication Requested (required)

Additional Comments / Questions


The verification code below ensures the form is not submitted by a computer
Verification Code :
Enter the code you see in the graphic below in this box.
Your post will not be allowed if you do not type this in correctly.