{"id":210,"date":"2023-11-21T10:12:30","date_gmt":"2023-11-21T10:12:30","guid":{"rendered":"https:\/\/convirzon.com\/Client\/erinanimalhospital\/wp\/?page_id=210"},"modified":"2023-11-21T20:03:15","modified_gmt":"2023-11-21T20:03:15","slug":"prescription-refill-and-food-order-request-form","status":"publish","type":"page","link":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/prescription-refill-and-food-order-request-form\/","title":{"rendered":"Prescription Refill and Food Order Request Form"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Prescription Refill And Food Order Request Form<\/h2>\n\n\n\n<p>Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order.<\/p>\n\n\n\n<p><strong>Note: Some prescriptions will require an examination of your pet prior to re-filling.<\/strong><\/p>\n\n\n\n<p>Many prescriptions require your pet to be examined before dispensing. This ensures that your pet is healthy enough to handle the potential side effects of some prescriptions and provides further confirmation that the medication is appropriate for your pet\u2019s current condition.<\/p>\n\n\n\n<p><strong>IMPORTANT:<\/strong> Prescription Refills and Food Orders are not confirmed until you have received notification. A staff member will contact you by phone or email.<\/p>\n\n\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f217-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"217\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/pages\/210#wpcf7-f217-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"217\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.1\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f217-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\">\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-577\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Name\" value=\"\" type=\"text\" name=\"text-577\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-user\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"tel-328\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Phone\" value=\"\" type=\"tel\" name=\"tel-328\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-phone\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"email-433\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Email\" value=\"\" type=\"email\" name=\"email-433\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-envelope\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-71\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Pet Name\" value=\"\" type=\"text\" name=\"text-71\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-dog\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-670\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Drug or Food Name\" value=\"\" type=\"text\" name=\"text-670\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-dog\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-6 col-lg-6 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-315\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Dosage\/Size\/Strength\" value=\"\" type=\"text\" name=\"text-315\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-dog\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-12 col-lg-12 col-md-12 col-sm-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-688\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Quantity\" value=\"\" type=\"text\" name=\"text-688\" \/><\/span>\n\t\t\t<\/p>\n\t\t\t<div class=\"icon\">\n\t\t\t\t<p><span class=\"icon-dog\"><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-xl-12\">\n\t\t<div class=\"input-box\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"minlength:10\"><textarea cols=\"40\" rows=\"10\" maxlength=\"210\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Additional Comments\" name=\"minlength:10\"><\/textarea><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<div class=\"row\">\n\t<div class=\"col-xl-12\">\n\t\t<div class=\"button-box text-center\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn-one gradient-bg-1\" type=\"submit\" value=\"Submit Now\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Prescription Refill And Food Order Request Form Please use the form below to request your prescription refill or food item. This will save you time when picking up your order. Please allow 24 hours for order processing. Do not come to the clinic until you have received confirmation to pick up your order. Note: Some [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":23,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-210","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/pages\/210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/comments?post=210"}],"version-history":[{"count":5,"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/pages\/210\/revisions"}],"predecessor-version":[{"id":218,"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/pages\/210\/revisions\/218"}],"wp:attachment":[{"href":"https:\/\/convirzon.agency\/Clients\/apexanimalhospital\/wp-json\/wp\/v2\/media?parent=210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}