My dog is showing the same symptoms of an issue she had several years ago, can I just get a refill of the same medication?

Unfortunately, no. A veterinarian-client-patient-relationship is required in order to refill medications. If it has been several years since your dog has had an exam by one of our doctors, they will have to be seen in order for us to be able to prescribe any medications. In order to maintain a veterinarian-client-patient-relationship, a physical exam must be performed yearly.