Please note: this request is for medication dispensed from the clinic pharmacy. We are only able to dispense medication if our vets have examined your pet and reviewed the conditions for which they are receiving ongoing medication within the last 6 months. The vet also needs to have approved more medication being dispensed at the last health check.

Please allow at least 3 business days for medication requests to be processed. If medication is needed urgently, please phone the clinic and our team will do their best to assist you.

If multiple medications are required, please complete a new form for each medication.

 

Medication Request Form

Medication Request Form

Your Name
Your Name
First Name
Last Name
example: email, call or text message, or other contact like partner's details
Please provide a date of when you need this medication by
eg, Meloxicam 1.5mg/mL Liquid
eg, 1mL twice daily
eg, 50mL Bottle