Med Repeat Form

Medication Repeat Form:
This is the medication repeat form for use by clients of Burwood Bird & Animal Hospital also known as Burwood Vet as well as Bird Vet Melbourne.

Burwood Bird & Animal Hospital has the right to refuse medication repeats, if this happens we will contact you and explain why and what to do next.

Please fill in the following information to make for a speedy repeat.

*Please note that medication repeats can take 2 - 3 business days to be actioned, compounded medications can take longer.*
Pets Name (First Name)*
Surname*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Species of Animal*
Medication Name and Strength*
eg. Meloxicam 1.5mg/mL or Gabapentin 100mg
Current Dose of Medication*
eg. 1mL in the morning or 1 tablet morning and night
Is Your Pet Otherwise Well?*
Any changes or behaviour or health?
Notes / Questions / Concerns
Should be Empty:

Medication Repeat Form: