Quarry Ridge Animal Hospital

30 Old Quarry Road
Ridgefield, CT 06877

(203)438-8878

www.qrah.com

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 by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by a doctor.

Please call prior to pick-up to confirm that your prescription has been filled. If you would prefer to have the prescription mailed we will need a credit card number.

Due to changes in legislation regarding controlled substances, specifically Connecticut Public Act 13-172, refills of controlled substances are subject to further regulations. As such, refills of these medications may not be made for the quantity requested and we ask that 24 hours be allowed for refills. In addition, we will require you to sign a release form when picking up controlled drugs. Persons picking up controlled substances must be at least 18 years of age.

Prescription Refills Online

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

Sex (required)
Male
Female


Age: Years, Months

Have we seen your pet within the last year?
Yes
No


Medication Requested (required)

Additional Comments / Questions


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