Prescription Request Form

Send the Strait Clinic an RX Request

Your Full name *

Address *

City/Town *

Province *

Postal Code *

Phone *

Your email address *

Pet's name *

Medication Requesting *

Quantity Requesting *

Date of Last Prescription *

Comments/Questions *

Please allow 48 hours for all online prescription refill requests. In order to protect your pet's health, we can only refill prescriptions for animals that are under our care and have had an exam within the last year. Our staff will contact you if there are any problems with your request.