Alpine Veterinary Hospital

P.O. Box 709
Bingen, WA 98605

(509)493-3908

alpinevet.net

Prescription 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 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, and will request a credit card number by phone at that time.  If you would prefer to have the prescription mailed to you, please mention this information in the additional information area. 

We also have our very own online pharmacy. Just click on the link below. You can order your prescriptions there and have them shipped to your door!

Prescription 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 Requested (required)

Additional Comments / Questions


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