Order repeat medication

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This field is for validation purposes and should be left unchanged.

Please complete the below form to order repeat prescriptions.

Please be aware that we require 48 hours’ notice to prepare your prescription/food (not including weekends). If the product you desire needs more time to be ordered or there are any problems, we will endeavour to ring you as soon as possible on the contact number(s) provided.

Please also note, we need to have clinically assessed your Pet recently to able to dispense repeat medications. The frequency of clinical assessments varies depending on the condition being treated but is normally every three months.

Your Full Name(Required)

Pet's name(Required)

Phone number(Required)

Email(Required)

How many medications required?(Required)

Medication 1

Pet's name (medication 1)(Required)

Species (medication 1)(Required)

Medication requested – please include strength/ tablet size (medication 1)(Required)

Quantity required(Required)

Current dose – including frequency (medication 1)(Required)

Tick if you receive a written prescription for this medication (medication 1)

Yes

Medication 2

Pet's name (medication 2)(Required)

Species (medication 2)(Required)

Medication requested – please include strength/ tablet size (medication 2)(Required)

Quantity required (medication 2)(Required)

Current dose – including frequency (medication 2)(Required)

Tick if you receive a written prescription for this medication (medication 2)

Yes

Medication 3

Pet's name (medication 3)(Required)

Species (medication 3)(Required)

Medication requested – please include strength/ tablet size (medication 3)(Required)

Quantity required (medication 3)(Required)

Current dose – including frequency (medication 3)(Required)

Tick if you receive a written prescription for this medication (medication 3)

Yes

Medication 4

Pet's name (medication 3)(Required)

Species (medication 4)(Required)

Medication requested – please include strength/ tablet size (medication 4)(Required)

Quantity required (medication 4)(Required)

Current dose – including frequency (medication 4)(Required)

Tick if you receive a written prescription for this medication (medication 4)

Yes

Additional information

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Request repeat medication

Medication 1

Medication 2

Medication 3

Medication 4

How Can We Reach You?