Avalon Animal Hospital, PLLC

760 Central St. Suite 3
Franklin, NH 03235



Prescription Refills

In our ongoing effort to make your pet's healthcare as convenient and easy as possible, you may now request a refill for your pet's prescription by submitting the following form. Please be sure to fill in all of the requested information. Prescription refill requests must be approved by one of our doctors.

We will notify you via e-mail or phone when your pet's prescription is approved and ready to be picked up.  

Prescription Refills Online

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) :
Daytime Phone
Phone TypePhone Number
Evening Phone (required)
Phone TypePhone Number (required)
Pet's Name (required)

Sex (required)


Age: Years, Months

Have we seen your pet within the last year?


Medication Requested (required)

Additional Comments / Questions

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