Refill Prescription or Therapeutic Diet

Polo Springs Veterinary Hospital
5557 Austin Bluffs Parkway
Colorado Springs, CO 80918
719.264-8384
Mon – Fri: 7:30 am – 7:30 pm
Sat: 7:45 am – 5:00 pm

Use this form to refill a prescription or therapeutic diet.

Name*
First Last
Pet's Name*
Phone
Email
If medication, please enter name of medication

We would appreciate at least 24 hours notice in order to fill an online request (if you submit a request on a Saturday or Sunday please give us 48 hours notice). For faster service during hospital hours, please call us.
If diet, please enter name of therapeutic diet, along with bag size and/or number of cans requested.
What day and time would you like to pick up your medication and/or therapeutic diet?
Additional Comments
Name
This field is for validation purposes and should be left unchanged.

After we receive your email request, we will call to let you know when your medication/therapeutic diet is ready to be picked up from Polo Springs.

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