Repeat Prescriptions

Clients: Please use the form below to request repeat prescriptions for your animal. Please allow at least 2 working days notice 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 medicines.

Your details

Are you a registered client?

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

Title

e.g. Ms / Miss / Mrs / Mr

First name

Last name

Address

Town

County

Postcode

Home telephone

Work telephone

Mobile

Pet details

Pets name

Prescription required

1. Medicine name

Size

(e.g. 25mg or 10ml bottle)

Quantity required

Current dose

2. Medicine name

Size

(e.g. 25mg or 10ml bottle)

Quantity required

Current dose

3. Medicine name

Size

(e.g. 25mg or 10ml bottle)

Quantity required

Current dose

4. Medicine name

Size

(e.g. 25mg or 10ml bottle)

Quantity required

Current dose

Comments

Mon:		8.30am to 5.30pm
Tue:		8.30am to 5.30pm
Wed:		8.30am to 5.30pm
Thu:		8.30am to 5.30pm
Fri:		8.30am to 5.30pm
Sat:		Emergencies Only
Sun:		Emergencies Only
Bank Holidays:		Emergencies Only