Prescription Refill and Food Order Request Form

Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.

Note: Some prescriptions will require an examination of your pet prior to re-filling.

Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet’s current condition.

IMPORTANT: Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.

Name*
First Last
Email*
Phone*
Cell Phone
Work Phone
Pet Name*
Drug or Food Name*
Dosage/Size/Strength*
Quantity*
How would you like to receive your order?
- Home Delivery
- Pick-up at A.E.Z.R. Pet Hospital
What is your home address?
Please indicate preferred dates/times of pick up.
Additional Comments*

Ready to make an appointment?

CONTACT INFORMATION

593 N McDowell Blvd
Petaluma, CA 94954, USA

Phone: (707) 778-7521
Text: (707) 790-3050
Email: aezr@aezrpet.com

HOURS OF OPERATION

Mondays – Fridays: 10:00-12:00; 2:00-5:00
Saturdays: CLOSED
Sundays: CLOSED

EMERGENCIES

TruVet Specialty & Emergency Hospital
2620 Lakeville Hwy, Building D
Petaluma, CA 94954
707-787-5340

VCA Animal Care Center
6470 Redwood Dr.
Rohnert Park CA 94928
(707)-584-4343

UC Davis Veterinary Teaching Hospital
1 Garrod Dr.
Davis CA 95616
(530)-752-1393

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707-778-7521