Medication Refill Form

Please fill out the form below to request refills on your pet's prescriptions.

• MUST be a current client/patient at MTCPC.
• MUST be current on your annual - if your pet is not up to date, your request may be denied.
• Please allow our office 3 business days to complete your request, you will receive a phone call when your prescription is ready for pick up.
• If you need your prescription sooner, please call our office at 808-625-6744 to expedite the process. Urgent request fee of $10 will be applied if you need the prescription filled same-day.
• Please notate if you would like your pills to be pre-cut. A pre-cutting fee of $10 will be applied. Pre-cutting pills may also delay when your prescription will be ready.

If you are requesting tranquilizers for New Years Eve, please call our office for assistance. Thank you!