Repeat Prescriptions - Rutland House Vets

Personal Details

Which practice would you like to collect from? (select one) *

First Name *

Surname *

Address *

Postcode *

Telephone *

E-mail *

Pet's Name *

Prescription Details

Prescription Item 1 *

Prescription Strength *

Prescription Dosage *

Quantity (e.g. 1 month's worth) *

Prescription Item 2

Prescription Strength

Prescription Dosage

Quantity (e.g. 1 month's worth)

Prescription Item 3

Prescription Strength

Prescription Dosage

Quantity (e.g. 1 month's worth)

Do you want a written prescription?

Yes

Please note: there is a charge of £17 +VAT per item.

Any additional comments/requests

We will contact you if there are any problems with your request. If you are collecting your medication it will be ready in 72hrs time.

Keeping in touch

by email

by phone (including text message)

by post

Yes please, I would like to receive reminders (i.e. appointments, boosters and treatment reminders)

by email

by phone (including text message)

by post

Yes please, I would like to receive marketing communications (i.e. products and services)

Terms & Privacy *

I agree and I am over the age of 18

I agree to have read and accepted your terms and privacy policy. Your privacy is important to us and you can find out more about how we use your data from our “Full Privacy Notice” which is available from in the links above.

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