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Jamie Stein
2023-01-04T12:47:04+00:00
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?
*
Arbroath
Broughty Ferry
Carnoustie
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 are human, leave this field blank.
If you have any other questions, please contact us
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