Repeat Prescription

Clients: Please use the form below to request repeat prescriptions for your animal.

We ask for 24 hour’s notice (excluding weekends) so that your request can be authorised by a veterinary surgeon.

If you require medications for more than one pet, please submit a separate request for each animal.

We generally ask to re-examine your pet every 3 months, to look for any changes in the condition and for any side effects or new problems. The law requires that this check is done when prescribing prescription-only medications.

Are you a registered client?*

Yes

Has your pet been examined by our vets within the last 3 months?*

Yes

Pet's Name*

Your Name and Surname*

Address Postcode*

Email*

Phone Number*

Name of Medication 1 Required*

Size (eg 25mg or 10ml bottle)

Quantity Required

Current dose

Name of Medication 2 Required*

Size (eg 25mg or 10ml bottle) of Med 2

Quantity Required of Med 2

Current dose of Med 2

Name of Medication 3 Required*

Size (eg 25mg or 10ml bottle) of Med 3

Quantity Required of Med 3

Current dose of Med 3

Name of Medication 4 Required*

Size (eg 25mg or 10ml bottle) of Med 4

Quantity Required of Med 4

Current dose of Med 4

Keeping in touch : Yes please, I would like to receive reminders (i.e. appointments, boosters and treatment reminders)

By Email

By Phone (inc. text)

By Post

Yes please, I would like to receive marketing communications (i.e. products and services)

By Email

By Phone (inc. text)

By Post

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