Prescription Refill Request Form

Refill requests are only available for established patients of Revel Vet. If we have not seen your pet within the last 12 months, please call (480) 701-8609 to schedule an appointment. We ask for 24 to 48 business hours to fill prescriptions. Thank you for being one of the best humans ever!

Customer Info

Pet Owner Name(Required)

First Last

Your Email(Required)

Enter Email Confirm Email

Your Phone Number(Required)

Refill Info

Would you like us to text you when the prescription is available?(Required)

Yes

Medication(s) to refill

Click “Add a medication” and fill in the form for each medication you need refilled.

Your Pet’s Name	Medication	Refill Quantity: Medication price varies based on quantity filled	Actions

There are no Medications.

This field is for validation purposes and should be left unchanged.