Equine Repeat Prescription form:

Please use this form to request a repeat prescription for medication that your horse/pony is using on a long-term basis. Please note that we are only able to prescribe for “animals under our care”. In order to fulfil this requirement we must see your horse/pony at least once every six months.


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Horse / Pony Information:

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Prescription Information:

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(e.g 50mg tablet) *

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Delivery Information:

Did you want us to post the prescription, or are you going to pick it up from the surgery?:

(we are only able to post to the address registered on your account)

(dd/mm/yyyy)


Any other information that may be useful to us (e.g. how is your pet doing on the medication?):