Equine Veterinary Associates, Inc.
1250 Lakeview Ave., Suite L
Anaheim, CA 92807
P: 714.777.3942
P: 562.691.8160
P: 949.250.0009
F: 714.695.1521

Request an Prescription

RX Request
If you need to request a prescription please download the attached form and fax or email it to our office or fill out the form below.
 
Thank you

Client Name:
E-mail:
Phone (Day):
Phone (Evening):
 

EVA Veterinarian:
Horse Name:
Current Medication:
Current Dosage:
 

Please fill out the shipping address below if you are not picking up the prescription at our office:
Address:
City:
State:
Zip:
   
Questions / Comments: