Medication Request Form


Medication Request Form

Please fill out this form as completely and accurately as possible so we can fill your medication request.

If this request is for Apoquel please answer these additional 2 questions. If this is not for Apoquel, please skip to the end.

Please allow 24 working hours for most prescriptions, 72 hours if we need to special order your pet's medication in for you.

Thank you,
Dr. Lynn Lam, Dr. Tom Oster, Dr. Christina Parker and the Whitehills Animal Hospital Team