This form is for requesting refills of ongoing prescriptions for current patients of Yu of Guelph Veterinary
Dermatology. Patients must have been examined within the last year in order to request refills. Authorization for
more medication is at the discretion of the veterinarian. We will contact you when your prescription has been
approved, or if there are any concerns with refilling this medication.
Please ensure all fields are filled out completely to avoid a delay in refills.
Please list any medications, including dose, frequency, and how many you would like:
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