Name: Dogwood Veterinary Hospital
Address: 24 Hospital Road, Newnan, GA, 30263, US
Price range: $$

Client Account Name (& Contact Person if different)*
Email*
Phone*
Pet Name*
Prescription Information

Please confirm the following information from your current prescription bottle or previous invoice, if unsure please note in comments:
Name of Medication and Strength*
How much are you giving per dose?*
How often are you giving the medication?*
Last four digits of the card number they would like to use:*
When would you need to pick up the medication by?*

MM slash DD slash YYYY

* We aim to refill medications promptly but please allow 1-2 business days from the time of request for unforeseen delays. * A team member will contact you when your prescription is ready. Arranging payment prior to the desired pick-up time will expedite the pickup process and shorten wait times.
Comments (changes in pet weight, questions and concerns about medications, etc)

*Please note that prescription medications may NOT be returned once dispensed per State and Federal Laws.

What's Next

RX REQUEST AT CLINIC