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(631) 923-2530

770 West Jericho Turnpike,
Huntington, NY 11743

Specialty Veterinary Care in Long Island NY 24hr Emergency Care for pets
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Menu
  • Home
  • About
    • Our Mission
    • Support Staff
    • Career Opportunities
  • Specialists
  • Veterinary Specialties
    • What is a Board-Certified Veterinary Specialist
    • Behavior
    • Cardiology
    • Emergency Care
    • HD CT Imaging
    • Internal Medicine
    • Oncology
    • Rehabilitation
    • Reproduction
    • Surgery
  • Pet Owners
    • Patient Forms
  • Referring Veterinarians
    • Referral Forms
  • Contact
  • Shop Now

Home » Behavior Prescription Refill Form

Behavior Prescription Refill Form

If you are utilizing an online pharmacy (Chewy, 1800 Pet Meds, Vetcove) that faxes us a prescription refill request, you do not need to fill out this form. Please allow 2 business days where the doctor is in the office (Tues-Fri) from receiving that request to process it and fax it back.
  • Medications can be refilled from Tuesdays through Fridays between the hours of 9:00 AM and 4:00 PM. Please allow 2 business days in this window for medications and written scripts to be picked up at Gold Coast. The doctor must have seen your pet in hospital in the past six months in order to authorize refills.
  • Controlled substances (denoted with an asterisk*), can only be picked up Tuesday-Friday between the times of 8 am and 6 pm. Legally, we can only authorize a maximum of 30 days with appropriate refills. The medication will be filled at the time of pick-up to be compliant with controlled substance regulations. Please allow 5 minutes for the medication to be filled after arrival and notifying the client service representative what you have requested.
  • Once your medication has been filled and is ready for pickup, you will receive notice at your preferred method — phone call, text message, or email.
  • If you are requesting a written script mailed to you, please provide the team one week of notice from when you will run out of the medication to ensure there is no lapse in medication.
  • Medications are only called into a pharmacy on an emergency basis, so please plan ahead. If you are going to run out of your pet’s medication within the next 24 hours, email us at behavior@goldcoastcvc.com. If we are not in the office during that time, we ask that you contact your primary care veterinarian for refills.
Owner Name(Required)
How would you prefer to be contacted when your refill is ready?(Required)

Medication(s) to Refill

Which medication, food, or treats do you need refilled?(Required)

Please indicate which dosage(s) you need refilled, how much is needed, and how you wish to receive your medication or written script(s).
Acepromazine Dosage(Required)
Acepromazine 10mg Supply(Required)
How do you wish to receive your Acepromazine 10mg refill?(Required)
Acepromazine 25mg Supply(Required)
How do you wish to receive your Acepromazine 25mg refill?(Required)
AnimalBiome Gut Restore Supplement Dog FMT Capsules(Required)
Apoquel Dosage(Required)
Apoquel Supply(Required)
Apoquel must be picked up from our practice. We cannot provide written scripts for this medication.
Adaptil/ThunderEase Product(Required)
How do you wish to receive your Adaptil/ThunderEase refill?(Required)
Alprazolam (Xanax) Dosage
Alprazolam 0.25mg Supply(Required)
How do you wish to receive your Alprazolam 0.25mg refill(Required)
Alprazolam 0.5mg Supply(Required)
How do you wish to receive your Alprazolam 0.5mg refill(Required)
Alprazolam 1mg Supply(Required)
How do you wish to receive your Alprazolam 1mg refill(Required)
Alprazolam 2mg Supply(Required)
How do you wish to receive your Alprazolam 2mg refill(Required)
Anxitane Dosage(Required)
Anxitane Supply(Required)
How do you wish to receive your Anxitane refill?(Required)
Buspirone Dosage(Required)
Busiprone Aupply(Required)
How do you wish to receive your Buspirone refill?(Required)
Calming Care Product(Required)
Calming Care Quantity(Required)
How do you wish to receive your Calming Care refill?(Required)
Cerenia Dosage(Required)
Cerenia 16mg Supply(Required)
How do you wish to receive your Cerenia 16mg refill?(Required)
Cerenia 24mg Supply(Required)
How do you wish to receive your Cerenia 24mg refill?(Required)
Cerenia 60mg Supply(Required)
How do you wish to receive your Cerenia 60mg refill?(Required)
Cerenia 160mg Supply(Required)
How do you wish to receive your Cerenia 160mg refill?(Required)
Clomicalm Dosage(Required)
Clomicalm 5mg Supply(Required)
How do you wish to receive your Clomicalm 5mg refill?(Required)
Clomicalm 20mg Supply(Required)
How do you wish to receive your Clomicalm 20mg refill?(Required)
Clomicalm 80mg Supply(Required)
How do you wish to receive your Clomicalm 80mg refill?(Required)
Clonidine Dosage(Required)
Clonidine 0.1mg Supply(Required)
How do you wish to receive your Clonidine 0.1mg refill?(Required)
Clonidine 0.2mg Supply(Required)
How do you wish to receive your Clonidine 0.2mg refill?(Required)
Clonidine 0.3mg Supply(Required)
How do you wish to receive your Clonidine 0.3mg refill?(Required)
Dasuquin Advanced Product(Required)
How do you wish to receive your Dasuquin refill?(Required)
Denamarin Advanced Product(Required)
Denamarin Advanced Quantity(Required)
How do you wish to receive your Denamarin refill?(Required)
Diazepam Dosage(Required)
Diazepam Supply(Required)
How do you wish to receive your Diazepam refill?(Required)
Escitalopram (Lexapro) Dosage(Required)
Escitalopram 5mg Supply(Required)
How do you wish to receive your Escitalopram 5mg refill?(Required)
Escitalopram 10mg Supply(Required)
How do you wish to receive your Escitalopram 10mg refill?(Required)
Escitalopram 20mg Supply(Required)
How do you wish to receive your Escitalopram 20mg refill?(Required)
How do you wish to receive your Feliway Optimum starter kit refill?(Required)
Prescription Dog Food(Required)
How do you wish to receive your Prescription Dog Food refill?(Required)
Fluoxetine (Prozac) Dosage(Required)
Fluoxetine 10mg tablet Supply(Required)
How do you wish to receive your Fluoxetine 10mg tablet refill?(Required)
Fluoxetine 10mg capsule Supply(Required)
How do you wish to receive your Fluoxetine 10mg capsule refill?(Required)
Fluoxetine 20mg capsule Supply(Required)
How do you wish to receive your Fluoxetine 20mg capsule refill?(Required)
Fluoxetine 40mg capsule Supply(Required)
How do you wish to receive your Fluoxetine 40mg capsule refill?(Required)
Gabapentin Dosage(Required)
Gabapentin 100mg Supply(Required)
How do you wish to receive your Gabapentin 100mg refill?(Required)
Gabapentin 300mg Supply(Required)
How do you wish to receive your Gabapentin 300mg refill?(Required)
Gabapentin 600mg Supply(Required)
How do you wish to receive your Gabapentin 600mg refill?(Required)
Gabapentin 800mg Supply(Required)
How do you wish to receive your Gabapentin 800mg refill?(Required)
Galliprant Dosage(Required)
Galliprant Supply(Required)
How do you wish to receive your Galliprant refill?(Required)
Guanfacine Dosage(Required)
Guanfacine Supply(Required)
How do you wish to receive your Guanfacine refill?(Required)
Lorazepam Dosage(Required)
Lorazepam* Supply(Required)
How do you wish to receive your Lorazepam refill?(Required)
How do you wish to receive your Lorazepam refill?(Required)
Paroxetine Dosage(Required)
Paroxetine 10mg Supply(Required)
How do you wish to receive your Paroxetine 10mg refill?(Required)
Paroxetine 20mg Supply(Required)
How do you wish to receive your Paroxetine 20mg refill?(Required)
Paroxetine 30mg Supply(Required)
How do you wish to receive your Paroxetine 30mg refill?(Required)
Paroxetine 40mg Supply(Required)
How do you wish to receive your Paroxetine 40mg refill?(Required)
Reconcile Dosage(Required)
Reconcile 8mg Supply(Required)
How do you wish to receive your Reconcile 8mg refill?(Required)
Reconcile 16mg Supply(Required)
How do you wish to receive your Reconcile 16mg refill?(Required)
Reconcile 32mg Supply(Required)
How do you wish to receive your Reconcile 32mg refill?(Required)
Reconcile 64mg Supply(Required)
How do you wish to receive your Reconcile 64mg refill?(Required)
Rimadyl Dosage(Required)
Rimadyl Supply(Required)
How do you wish to receive your Rimadyl refill?(Required)
Senilife Dosage(Required)
Senilife Supply(Required)
How do you wish to receive your Senilife refill?(Required)
Sertraline (Zoloft) Dosage(Required)
Sertraline 25mg Supply(Required)
How do you wish to receive your Sertraline 25mg refill?(Required)
Sertraline 50mg Supply(Required)
How do you wish to receive your Sertraline 50mg refill?(Required)
How do you wish to receive your Sileo Transmucosal Gel refill?(Required)
Trazodone Dosage(Required)
Trazodone 50mg Supply(Required)
How do you wish to receive your Trazodone 50mg refill?(Required)
Trazodone 100mg Supply(Required)
How do you wish to receive your Trazodone 100mg refill?(Required)
Prescription Dog Treats(Required)
How do you wish to receive your Prescription Dog Treats refill?(Required)
Venlafaxine Dosage(Required)
Venlafaxine 25mg Supply(Required)
How do you wish to receive your Venlafaxine 25mg refill?(Required)
Venlafaxine 50mg Supply(Required)
How do you wish to receive your Venlafaxine 50mg refill?(Required)
Venlafaxine 100mg Supply(Required)
How do you wish to receive your Venlafaxine 100mg refill?(Required)
Welactin Product(Required)
Welactin Supply(Required)
How do you wish to receive your Welactin refill?(Required)
Zylkene Sprinkle Caps Dosage(Required)
Zylkene Sprinkle Caps Supply(Required)
How do you wish to receive your Zylkene Sprinkle Caps refill?(Required)
Address to mail a written script:
This field is for validation purposes and should be left unchanged.
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Veterinary Specialties

  • What is a Board-Certified Veterinary Specialist
  • Behavior (Practice Limited to Behavior)
  • Cardiology
  • Clinical Pathology
  • Emergency Care
  • Internal Medicine
  • Oncology
  • Rehabilitation
  • Reproduction
  • Surgery

If your pet is having an emergency, contact West Hills

24 hr - West Hills Animal Hospital in Huntington

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Hospital Affiliations

  • AVMA
  • New York State Veverinary Medical Society
  • USDA
  • American College of Veterinary Surgeons
Gold Coast Center for Veterinary Care in Long Island City

Gold Coast Center for Veterinary Care

770 West Jericho Turnpike
Huntington, NY 11743

(631) 923-2530

Our team of Board-Certified Veterinary Specialists use their expertise every day so that your pet has a chance of a healthy recovery and long life with you and your family

https://goldcoastcvc.com/

Gold Coast Center for Veterinary Care

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