Prescription Refill

At Animal Emergency Center, we want to make it easy for you to request food and prescription refills for your pet. Just fill out the form below and we will get into contact with you. If you have any questions please call us at (570) 399-0403.

Prescription Refill Request Form

Owner First Name
Please enter the first name of the pet's owner.
Owner Last Name
Please enter the last name of the pet's owner.
Date
Please enter today's date.
Pet Name
Please enter the name of your pet.
Prescription Date
Please enter the date of the prescription.
Medication Name
Please enter the name of the medication.
Name of the Prescribing Doctor
Please enter the name of the doctor who prescribed the medication.
Preferred Contact Number
Please enter your phone number.

This isn't a valid phone number.
Email Address
Please enter your email address.

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Additional Comments
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Your Right Choice

When An Emergency Happens

Here When Your Veterinarian Can't Be
We are proud to serve our community by being open on nights, weekends, and all major holidays.
Two Decades of Caring
We have been a staple in this community for twenty years, put your loved one's paws in our experienced hands.
Handling Emergencies Big and Small
Whether you have a life-threating emergency on your hands or just don't want until Monday to see your regular vet, we're here to serve you and your pet.
Tender Loving Care
We understand that no one wants to come to an emergency veterinarian, our highly trained staff is here with a compassionate heart to care for you and your pet.

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Real Stories from Real Owners

Read Our Reviews

“We talked it out with Dr. Lewis listening to my crying and rationalizing and the final decision was to not let him suffer any longer. We turned around and I will not go into detail about the last moments but they were so compassionate, caring and cognizant”
- Annette D.
“The staff was friendly, professional and very kind and attentive to our sick dog. He was given the proper care and with follow-up from our regular vet recovered from his illness.The staff was friendly, professional and very kind and attentive to our sick d”
- Jack
“We hated having to leave her there for IV medications but they kept me updated throughout the night and took such good care of my baby girl while easing my mind. Thank you all!”
- Rachel