Repeat Prescription Order Form

If you have already been prescribed items for your pet and need to order repeat quantites of the same items please complete the form below.

Mandatory fields are marked with * please ensure you complete all required fields.

Repeat Prescription
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By giving us your email address you agree to receiving updates on PDSA's work and fundraising via email.
You can unsubscribe at any time.

By giving us your mobile phone number you agree to receiving updates on PDSA's work and fundraising via sms.

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Enter the first line of your address and postcode and click "Find address"

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You can find the medication details required below on the label of your current medication.

Medication # Medication name Dose rate (e.g 1 tablet daily) Date on label
1* Format: dd/mm/yyyy
2 Format: dd/mm/yyyy
3 Format: dd/mm/yyyy
4 Format: dd/mm/yyyy
5 Format: dd/mm/yyyy
6 Format: dd/mm/yyyy

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 the PetAid hospital at the first opportunity. 

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