Small Animal Repeat Prescription form:

Please use this form to request a repeat prescription for medication that your pet 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 pet at least once every six months.


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Pet Details:

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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?):