Order Medication

Please complete the form below to order your pet’s prescription medicine

These will be available for collection within 48 hours, Monday to Friday

Repeat Prescription Order Form

Your Details

First Name *

Surname *

Email *

Mobile Phone Number *

Street Address *

Postcode *

Which practice would you like to collect from? *

Your Pet

Pet's Name *

Medication Name 1 *

Found on the label of current medication

Dose rate

Found on the label of current medication

Medication Name 2

Dose rate

Medication Name 3

Dose rate

Do you need to order medication for another pet?

Yes

No

Your Second Pet

Second Pet Name

Medication Name 1

Found on the label of current medication

Dose rate

Found on the label of current medication

Medication Name 2

Dose rate

Medication Name 3

Dose rate

I confirm that the condition of my pet has not changed significantly since the last examination by a veterinary surgeon and that if my pet should deteriorate in any way I will contact Wallace Vets at the first opportunity *

I confirm

If you have any other questions, please contact us

Contact Us