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Prescription Refill Requests

Dermatology, Oncology & Internal Medicine

Please use the form below 

Surgical Patients

Please call us at 415-213-4746 to request a refill (do not use the form below)

Dermatology / Oncology / Internal Medicine - Online Refill Requests

The form below is for:
  • CLINIC PICKUP of any item (medication, topical, food, etc.)
  • Allergen immunotherapy (clinic pickup or home delivery)
  • Compounded ear drops (clinic pickup or home delivery)
For HOME DELIVERY of any item (other than allergen immunotherapy and compounded ear drops), please use our new convenient online portal (auto-refill available!):
Using the form below, if you have authorized refills remaining, they will be available for pick-up or sent for home delivery within 2 business days at Golden Gate Vet Specialists. If you do not have refills remaining, we will consult the prescribing veterinarian for authorization. You will be notified when your medication is ready for pickup or is shipped.
Prescription Refill Request

Pet Owner Information

Name
Name
First
Last
Preferred Method of Communication
How should we fill your prescription?

Mailed Prescriptions

We will call you for payment arrangements. Shipping can take 2-3 business days after the prescription is complete as we use standard US Mail. Due to federal law, certain controlled medications cannot be mailed.
Address
Address
City
State/Province
Zip/Postal
Country

Patient Information

Pet's Name
Pet's Name
First
Last
Doctor's Name
Doctor's Name
First
Last

Prescription Information

PLEASE PROVIDE THE FOLLOWING INFORMATION FOR EACH PRESCRIPTION*
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