Repeat Prescription Request

Clients requiring repeat prescriptions are requested to fill in and submit the form below.

Repeat Prescription Request Form

If you are human, leave this field blank.

Owner's First & Last Name *

Pet's Name *

Have we examined your pet in the last 6 months? *

Name of Medication *

Size / Strength of Medication *

Current Dose of Medication *

Is the medication helping? *

Do you have any current concerns about your pet's health?

Have we dispensed this medication to your pet in last 6 months? *

Date of Request *

Email *

Phone *

All requests will be reviewed by our Veterinarians prior to being dispensed. Medications will be available 24 hrs after requests are reviewed. A member of our team will contact you as soon as your script is ready to be collected.

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Category: Repeat Prescription