Kennebunk Veterinary Hospital - Veterinarian In Kennebunk, ME USA

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Home > Online Forms > Prescription Refill Form

Client Information

Owner's First Name *

Owner's Last Name *

Owner's Email Address *

Best Phone Number *

Alternate Phone Number

Street Address *

City *

State *

Zip *

Pet Information

Pet's Name *

Pet's Breed *

Pet's Weight *

New Prescription

Yes

Name of Drug #1 *

Name of Drug #2

Name of Drug #3

Quantity of Drug

Same as Previous

Refill Notes, including any changes in how you give the medication (from the label on the bottle):

Contact and Pharmacy

Where would you like to get your prescription filled:

Home Delivery w/Our Online Store

Pick Up Here

Other

If other, please give name, location, and phone:

Please be advised: Providing quality health care requires that we only prescribe to active patients who have had a full physical exam within the last year. If it has been longer than a year since we've given your pet a nose to tail exam, we will need to schedule an appointment. This would be true for any veterinarian, as it is required by both our medical ethics and the law. We apologize for any inconvenience and thank you for understanding. Your pet's health is our top priority.

Services: We strive to provide complete care for our patients. Learn more about all the services we provide.

Make An Appointment: We will do our best to accommodate your busy schedule. Schedule an appointment today!

Online Forms: Our patient forms are available online so they can be completed in the convenience of your own home or office.

Office Hours

Day	Morning	Afternoon
Monday	8:30am	5:00pm
Tuesday	8:30am	6:00pm
Wednesday	8:30am	6:00pm
Thursday	8:30am	6:00pm
Friday	8:30am	5:00pm
Saturday	8:30am	12:00pm
Sunday	Closed	Closed

Day	Morning	Afternoon
Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday
8:30am	8:30am	8:30am	8:30am	8:30am	8:30am	Closed
5:00pm	6:00pm	6:00pm	6:00pm	5:00pm	12:00pm	Closed

Testimonial

All the staff are friendly and patient and helpful. Dr. Shively is the BEST! She truly cares about the pets in her care and takes time to explain details the owners need to know, all with a lovely sense of humor.

Charlotte

Kennebunk, ME