Rocky Shores Veterinary Hospital, P.C.

341 Route 25A
Rocky Point, NY 11778

(631)209-2035

rockyshoresvet.com

For your convenience, home delivery is available through our online store for all prescription medications, pet food, and many over-the-counter products.  We appreciate your business and thank you for supporting us and your local community.

 

If you would rather pick up your pet's prescription refill, please fill out the form below and a Rocky Shores staff member will contact you.  Once approved, please pick up within 3 business days or you will have to resubmit your request. 

Please note, it is against New York State prescription law to dispense any prescription medication without a current valid Veterinarian-Client-Patient relationship.  If your pet has not been examined within the last 12 months or less, as required by NYS law, we will be unable to fill, refill, and/or renew any prescription medications and your request will be denied.

Prescription Refill Request

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) :
Primary Contact # (required)
Phone TypePhone Number (required)
Secondary Contact # (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? (required)
(If not, please call to schedule an appointment)
Yes
No


Medication Requested (required)

Additional Comments / Questions


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