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Repeat prescription request

Please use this form for submitting a repeat medication request or a food order.

Your details

In order for us to be able to issue a repeat prescription, your pet(s) will have had to be seen at one of our branches in the past six months. This is both a legal and necessary requirement to ensure the drug is suitable for your pet. This period can be shorter depending on the advice of the vet.

Owner details

In order to be able to identify you on your system we need to ask you for your details.
In case we need to contact you in regards to this order
In case we need to contact you in regards to this order
I agree to have read and accepted your terms and privacy policy. Your privacy is important to us and you can find out more about how we use your data from our “Full Privacy Notice” which is available from in the links above.

Medication 1 (or food)

Medication 1 (or food)

Please enter the details about the first medication.
Please enter the exact name of the medication
Please enter the current dose of medication as written on the label. Enter n/a for food orders.
If different from the dose on the label please state what dose you are actually using.
The volume you would like to order. Example: 1 month. Please be aware this might not be the volume you will be prescribed as it could differ from what the vet has advised or if requested volume not available.

Medication 2

Medication 2

Please enter the details about the second medication. Leave blank if no 2nd medication.
Please enter the exact name of the medication
Please enter the current dose of medication as written on the label.
If different from the dose on the label please state what dose you are actually using.
The volume you would like to order. Example: 1 month. Please be aware this might not be the volume you will be prescribed as it could differ from what the vet has advised or if requested volume not available.

Medication 3

Medication 3

Please enter the details about the second medication. Leave blank if no 3rd medication.
Please enter the exact name of the medication
Please enter the current dose of medication as written on the label.
If different from the dose on the label please state what dose you are actually using.
The volume you would like to order. Example: 1 month. Please be aware this might not be the volume you will be prescribed as it could differ from what the vet has advised or if requested volume not available.
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