In House Pharmacy Request Please complete the following form to request a medication from our in house pharmacy. Please also note that availability is not guaranteed. Some medications need to be ordered, while some are compounded (meaning thy are made to order) and require additional time to arrive to our office. Your prescription will be confirmed by phone by a member of our staff when it is ready for pickup. Thank you!NamePhone*Email* Date* Date Format: MM slash DD slash YYYY Horse NameMedication RequestedNameThis field is for validation purposes and should be left unchanged.