Animal Diagnostic & Wellness Center

11816 North 56th Street
Temple Terrace, FL 33617




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 from our facility by submitting the following form. If you need a refill from the online pharmacy, follow the link.  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, text,  or phone when your pet's prescription is approved and ready to be picked up.     


Prescription Refills

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 (required)
Phone TypePhone Number (required)
Pet's Name (required)

Medication Requested (required)

Is this medication from our online pharmacy? (required)


Do you have a credit card saved in your account online to process the order? (required)
( )

No - We will need to contact you for this information prior to the order being processed.

If you get this medication at our office, when will you be picking it up?
Date (required) :
Time (required)

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