Repeat Prescriptions

Please use this form to request a repeat prescription for your pet.

All repeat prescription orders will be available for collection after 1:30pm the day after they are ordered*.

* Excluding Saturdays, Sundays and Bank holidays .

Contact Details

Your Name (required)

Your Address (required)

Post Code (required)

Phone Number (required)

Your Email

Species

CatDogOther

If other, please name type eg rabbit, parrot etc

Name Of Pet

Medication 1 - Name

Quantity / Number of tablets (required) NB subject to vets approval

Medication 2 - Name

Quantity / Number of tablets (required) NB subject to vets approval

Medication 3 - Name

Quantity / Number of tablets (required) NB subject to vets approval

I Would Like To Collect The Prescription From

Please indicate your preferred collection location using the buttons below.

ChorleyLeylandCoppull

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