Terra Glen Animal Hospital
11555 Tenth Line
RR 4
Georgetown, ON 
L7G 4S7
(905)873-1354




"Caring for your pet since 1982"



                                              

Terra Glen 
Animal Hospital

 

Welcome to Our Site

Prescription/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.

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.

 

Form - 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
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/Food Requested (required)

Additional Comments / Questions


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