Repeat Prescription Request
Please complete this form to order a repeat prescription. We will be in touch with this is made up ready for collection at your local clinic.
Pet Owners Name
First Name
Last Name
Pets Name
Email
example@example.com
Phone Number
*
 -
Area Code
Phone Number
What Aorangi Vets clinic would you like to collect your prescription from?
Please Select
Highfield (Timaru)
Geraldine
Fairlie
Medication Required
Would you like to collect any other items form the vets? We can pop it aside and have it ready for collection with your prescription e.g your pets food
Request Prescription
Should be Empty: