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Pharmacy Refill Request

 
 

* Required Information

 

1. Client and Patient Information

 
* First Name: :: Your name as it appears on your account details or pet medcial records.
 
*Last Name: :: Your name as it appears on your account details or pet medcial records.
 
 
*Phone (8012223333): :: Only type in the number including the area code. Do not use SPACES, brackets ( ), or dashes - between numbers.
 
Alternate Phone: :: This is optional and not requried
 
 
Your personal information will be used only to correspond with you should we have questions or need to respond back to you. We do not share your information with any third party.
 
 
 

2. Prescription Information

 
*1. Name of Medication: :: Example: Simplicef Tabs 100MG or Solozine 0.2MG
 
2. Name of Medication: :: Optional in the event you have more than one prescription refill request.
 
3. Name of Medicaiton: :: Optional in the event you have more than one prescription refill request.
 
 
 

3. Select Delivery Options

 
Please allow at least 1 Business day for refills. Please allow at least 2 Business days for compounded medications or medications with no refills remaining.
 


 
*Todays Order Date: :: click the icon calendar to the right
 
Date you would like to pick up your prescription: :: If you would like to pickup your pet's perscription at a later date, please indicate by selecting the date
 
 
 

4. Comments (Special Instructions)

 
 
  
Type the information you see displayed to the right of the box. :: Type your info in the box
 
 

For your convenience...

Contact Info

Address:
2206 McClelland Street
Salt Lake City, Utah 84106

Phone:
(801) 487 - 9981
Fax: (801) 486 - 2868

Hours of Operation

8:00am - 6:30pm Mon. - Fri.
8:00am - 1:00pm Sat.
Doctors are available:
8:00am - 5:30pm Mon - Fri.
8:00am - 12:00pm Sat

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AAHA Accredited Hospital

aahalogolgSugar House Veterinary Hospital
has successfully achieved
accreditation by the American
Animal Hospital Association
(AAHA). This accreditation
requires regular on-site
evaluations based on the highest
standards in veterinary medicine,
and puts us in an elite group of
only 110 hospitals, throughout the United States
and Canada, that have achieved this honor.

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