Binder Animal Hospital

2941 Telegraph Road
Saint Louis, MO 63125

(314)892-5406

www.binderanimalhospital.com

Prescription and Food 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 or food by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by a doctor.  All refill requests must have been previously prescribed by a doctor from Binder Animal Hospital.  Please allow at least 24 hours (excluding Sunday) for a member of our staff to process your request.

 

When submitting a prescription or food refill request online you will automatically receive $2 off of a refill of $15 or more.

 

We will notify you via phone when your pet's prescription is approved and ready to be picked up. If you have not heard from us within 24 hours (excluding Sunday), please call us to check on the status of your request.

Prescription/Food 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 (required)
Phone TypePhone Number (required)
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Sex

Male
Female


Age:

Have we seen your pet within the last year?

Yes
No


Medication or Food Requested (required)

Quantity (required)

Prescription # (RX #)

Additional Comments / Questions


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