Repeat Prescription Form | New Plymouth Vet Group

Please complete the form below and allow at least 24 hours once this form has been submitted before collecting the medication from the clinic. This allows a veterinarian to review your pet’s records and confirm the medication is ok to dispense.

Your pet must be a current patient of the clinic and has been seen within the last 6 months for an examination by a veterinarian.

There are some medications that cannot be dispensed without a current or recent consultation – this is at the discretion of the attending veterinarian.

* required fields
Your Pet's Name*
Owners Name*
This is the name the pet is registered under
Your email address*
Your address*
Your contact phone number*
Medication Required*
Please state the medication that your pet requires as per your previous prescription
Strength
If known
Dosage*
Have you noticed any changes in your pet’s condition since their last examination by a vet?*
- Yes, if yes please give details below
- No
Please give details about changes to your pet's condition
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Comments
This field is for validation purposes and should be left unchanged.