Repeat Prescriptions

Please Note: ONLINE PRESCRIPTION REQUESTS MAY TAKE UP TO 2 WORKING DAYS TO BE AUTHORISED AND LONGER IF A SPECIAL ORDER IS REQUIRED. IF YOU NEED MEDICATION EARLIER, PLEASE PHONE TO REQUEST, THIS NORMALLY TAKES 1 WORKING DAY TO AUTH0RISE AND DISPENSE.

Personal Details
*
Title First Name Last Name
Address*
Line 1 Postcode
Phone*
Email*
To your knowledge, have we given your pet a healthcheck within the last 6 months?*
- Yes
- No
Your Pet
Pet's Name*
Species
Item 1
Name of medication/food
Frequency of medicine given
Quantity of medicine requested
Item 2
Name of medication/food
Frequency of medicine given
Quantity of medicine requested
Item 3
Name of medication/food
Frequency of medicine given
Quantity of medicine requested
Which surgery would you like to collect your order from?*
*Please note most medicines will be ready after lunchtime the following week day. We will email or call if there is a problem.
Please add any further comments you feel relevant
Contact Permission
Keep in contact*
- Yes Please
- No Thanks
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Personal Details

Your Pet

Item 1

Item 2

Item 3

Contact Permission