24-HR ER: 773-516-5800
Our Services
Emergency Care
Anesthesia and Pain Management
Blood Bank
Diagnostic Imaging
Outpatient Ultrasound
Internal Medicine
Neurology
Social Work
Surgery
For Your Pet
Client Registration Form
Emergencies + Appointments
When Your Pet is a Patient
Patient Care Questions
Client Portal
Prescription Refill
Payment Options
Pet Insurance
Grief Resources & Pet Loss Support
End of Life Arrangements
Clinical Studies
For Veterinary Teams
Submit Referrals
At a Glance
Our Referral Process
Ethos Materials for Clinics
Clinical Studies
VetBloom CE
Continuing Education
About Us
Our Hospital
Our Team
Why Ethos
Ethos Discovery
Contact Us
Blogs & Videos
Our Blogs
PAWEDcasts
Careers + Development
Premier – Chicago is Hiring
Positions Across Ethos
Benefits and Perks
Veterinary Training Programs
Our Services
Emergency Care
Anesthesia and Pain Management
Blood Bank
Diagnostic Imaging
Outpatient Ultrasound
Internal Medicine
Neurology
Social Work
Surgery
For Your Pet
Client Registration Form
Emergencies + Appointments
When Your Pet is a Patient
Patient Care Questions
Client Portal
Prescription Refill
Payment Options
Pet Insurance
Grief Resources & Pet Loss Support
End of Life Arrangements
Clinical Studies
For Veterinary Teams
Submit Referrals
At a Glance
Our Referral Process
Ethos Materials for Clinics
Clinical Studies
VetBloom CE
Continuing Education
About Us
Our Hospital
Our Team
Why Ethos
Ethos Discovery
Contact Us
Blogs & Videos
Our Blogs
PAWEDcasts
Careers + Development
Premier – Chicago is Hiring
Positions Across Ethos
Benefits and Perks
Veterinary Training Programs
24-HR ER: 773-516-5800
Prescription Refill
Pet Owner Information
First Name
*
Last Name
*
Email
*
Phone Number
*
Preferred Method of Communication
*
Phone
Email
Patient Information
Which hospital is your pet a patient of?
*
Premier - Chicago
Premier - Grayslake
Premier - Orland Park
Pet's Name
*
Doctor's Name
*
Prescription Information
Please allow up to 72 hours for us to refill your pet's medication(s). Please call on arrival at Premier - Chicago, so we can arrange for payment and provide you with your medications.
Please provide the following information for each prescription
*
Rx ID
Medication Name
Dose/Strength
Additional Comments
Email
This field is for validation purposes and should be left unchanged.
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