Miller Animal Hospital

380 North Greenbush Road
Troy, NY 12180

(518)283-1166

millerah.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 allow at least 24 hours for us to address your request.

We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. 

 

Prescription Refills Online

Date :
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)
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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