My cat 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 pet has been examined by one of our doctors, they will have to be seen prior to our veterinarians being able to prescribe any medications. In order to maintain a veterinarian-client-patient-relationship, a physical exam must be performed yearly.