Farm Medication Order

We require a minimum of one working days notice for all orders. Weekends and public holidays are not classed as a working day. Orders must be placed by 3pm for next working day collection (collect after 11am). For prescription medication your animals must have been examined by one of our vets within the past 6 months. If this is not the case, we may contact you to discuss your requirements. All prescription medication must be approved by one of our vets prior to being dispensed. We will attempt to contact you as soon as possible by phone if we are unable to fulfil your request – please therefore include a daytime phone number.

Title:

Your Full Name*:

Address Line 1:

Address Line 2:

City*:

Postcode*:

Telephone Number*:

Mobile Number (optional):

Email*:

Animal:

Medication 1:

For treatment of:

Strength and Quantity:

Animal:

Medication 2 (optional):

For treatment of:

Strength and Quantity (optional):

Animal:

Medication 3 (optional):

For treatment of:

Strength and Quantity (optional):

Select a surgery:

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Farm Medication Order

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