Johnson Rx Request

Welcome To JOHNSON VETERINARY HOSPITAL

160 Winthrop Avenue, Stadium Plaza, S. Lawrence, Massachusetts 01843   Telephone: (978) 794-0022

Johnson Veterinary Hospital Johnson Veterinarians Johnson Staff Johnson Services Johnson Pet Pharmacy Johnson Rx Request Johnson Heartworm Rx Johnson Flea & Tick Johnson Pet Products Johnson Pet Food Johnson Bottomless Dish Johnson Pet Boarding You and Your Pet Felines Only Johnson Pet Gallery Johnson Rainbow Bridge Contact Johnson Johnson Refund Policy Johnson Privacy Policy

 

 

Meet the SIAMESE CAT

IF YOU CAN'T FIND YOUR PRESCRIPTION

IN OUR ONLINE PHARMACY

JUST FILL OUT THE REQUEST FORM BELOW

 

 

 

 

 

All prescriptions ordered online MUST be authorized by the Veterinarian BEFORE being shipped.

  You will be notified via E-mail when the doctor authorizes your prescription request.

 

 

 

 

Pet's Name   

 

Your Name   

 

Your Address   

 

City        State        Zip   

 

Telephone     Evenings

 

E-mail

 

Name of Medication   

 

Dosage (mg., etc.)        No of tablets/capsules, etc.

 

Is this a refill?    Yes    No

 

Comments or Questions for the Veterinarian:

 

Charge to which Credit Card?        Expiration Date   

 

Credit Card No:               

 

Name on Card   

 

Billing Address   

 

City        State        Zip   

 

The amount charged to your credit card will be sent to you via E-mail at the time your prescription is authorized. 

Your card will not be charged until you send us a confirming E-mail to validate your purchase. 

When we have received your confirmation E-mail, we will ship your prescription.

 

 

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