Pet Medicine Refill Request Form

for Clinics Hosted by the Humane Society of Saline County

You must pay CASH when you pick up refill, remember NO checks or debit/credit cards.
We will email you when your order is ready for pick up.
Check all entries for accuracy, then press the "Submit" button ONLY ONCE.
If you do not receive a confirmation email after you hit Submit, please re-submit your request.
Flea/Tick Products
Dog Heartworm Prevention 6 Month Supply Refill (Dog must be Heartworm tested HERE once a year)