Halifax Veterinary Center

1734 Dunlawton Ave
Port Orange, FL 32127



Prescription Refills To Be Picked Up at HVC

If you are attempting to refill a prescription through VetSource, please use the "Shop" tab on the home page. 

In our ongoing effort to make your pet's health care as convenient and easy as possible, you can now request a refill for your pet's prescription by submitting the following form. Please be sure to fill in all the requested information. The prescription refill must be approved by a doctor.  We will notify you via email or phone when your pet's prescription is approved and ready to be picked up. If you like, we will inform you of the total cost of the prescription.  We may request a credit card number by phone at that time. 


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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