If you are registered at Hollybank Vets and your pet is currently on long term medication you can request a repeat prescription here.

Please note that your request will be processed by a veterinary surgeon and you will be called once your medication is ready to collect or if there is any problem. Please do allow 48hrs for us to contact you. More urgent requests can be made by telephone.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone *

Email *

Pet's Name *

Medicine 1

Name of medicine *

Size of tablet or bottle *

Number of tablets or bottles *

Medicine 2

Name of medicine

Size of tablets or bottles

Number of tablets or bottles

Comments or requests

Submit