Aztec Animal Hospital Online now allows you to order your prescription medication refills as well as special diet food items any time day or night.

Please complete this form and click "Request Refill" button for corresponding order: (all fields marked (*) are required)

If this is an EMERGENCY, please call: (480) 945-6800
Your First Name*:
Your Last Name*:
Your Pet's Name:  Cat Dog Other
Phone*:
Email*:
Picking up    If Yes When

How long is your pet been on this medication?
Is your pet due for any recheck, blood work? X-rays? EKG,, thyroid Recheck? Valley fever Recheck?  

If you answer yes to any of them you need to call and make an appointment to 480-945-6800
Prescription Request**
For specific information about your pet's medication, please contact us during normal business hours.
 
Medication Name* Dosage Quantity
Item1:  
 
Item2:

Item3:

Item4:

Special Diets
Name:
Canine Feline Other* 		Size
 		Quantity
Name:
Canine Feline Other* 		Size
 		Quantity

COMMENTS*
** The refill form is for the convenience of our clients that have previously been given a medication by one of our veterinarians. The prescribing veterinarian will review the request, and you will be contacted if it cannot be filled for some reason. An e-mail confirmation will be sent for filled requests.

Federal and State laws as well as good medical practice prohibit us from dispensing prescription medications without prior examination of your animal, and current knowledge of your animals health

Federal and State laws and good medical practice prohibit us from dispensing or refilling medications that were originally ordered by another veterinarian. We will be happy to dispense any needed medications after examining your animal.