Repeat Form

WATKINS & TASKER V.E.T.E.R.I.N.A.R.Y G.R.O.U.P

Royal College of Veterinary Surgeons Accredited Practice

working closely with you to enhance your pet’s quality of life

REPEAT PRESCRIPTIONS FORM

You can now order repeat prescription drugs online for collection from your chosen practice.

To order your prescription, please complete the form below:

YOUR DETAILS

Title:

First Name:

Surname:

Address Line 1:

Address Line 2:

Address Line 3:

Postcode:

Your Pet’s Name:

Telephone Number:

Email Address:

Collect prescription from:

PRESCRIPTION REQUIREMENT

DRUG DETAILS (No.1)

Drug Required:

Amount Required:

Current Dose:

DRUG DETAILS (No.2)

Drug Required:

Amount Required:

Current Dose:

ADDITIONAL REQUIREMENTS

Other

Products / Services:

e.g. Flea/worming products, food or accessories

The prescription will be checked and prepared at the earliest opportunity and should be available for collection the following day. We will endeavour to contact you if there are any problems relating to your request. Please note that our policy requires a check-up to be made if we haven’t examined your pet within the last six months. Please ring to make an appointment to see the vet. Our minimum consultation charge applies for this appointment.


	Nailsea Practice Unit 1 69 High St Nailsea BS48 1AW Tel: 01275 858628


	Yatton Practice 57 High Street Yatton North Somerset BS49 4EQ Tel: 01934 833685


	Portishead Practice 55 High St Portishead North Somerset BS20 6AG Tel: 01275 397449


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