POM-VPS NFA-VPS REQUIRED ADDITIONAL INFORMATION

We require further information on this item. Please complete this form BEFORE adding the item to your basket
Date

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Bulldog Rescue & Rehoming is registered with the VMD

Click here for further information about this retailer and the Accredited Retailer Scheme
What is your Pet called?*
Which Product are you purchasing today?*
Category

POM-VPSNFA-VPSI don't know
Do you have a valid Prescription for this product?

YESNO
Script No
Please upload here. Prescriptions must be no older than 6 months

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Please confirm you are a UK address*

YES
What is your name*
What is your address*

POST CODE
Name of Person that will administer this product*

First NameLast Name
Address where animal resides (If it is the same address put SAME AS ABOVE*

Post Code
What is your email address*
What is your Telephone Number*
Have you ordered this prodcut before FOR THIS SAME ANIMAL*

YES FROM THE BULLDOG RESCUE CLINICYES FROM ANOTHER SOURCENO THIS IS THE FIRST TIME FOR THIS ANIMAL
What Species is your pet*
What Breed is your pet
What is the Sex of your pet*
How old is your Pet*
How much does your pet weight in KGs*
Is your pet PREGNANT or NURSING*
Please confirm you have read the data sheet for this product*

YES
VMD's PRODUCT INFORMATION DATA BASE

Please ensure you have read the Data Sheet for this Product (View SPC for details)
Is this a routine treatment*
If this is not a routine treatment (ie you have a specific illness or infestation that requires treatment) please tell us here so we can accurately dispense your medication
Feel free to send us a photo of your dog

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Would you like a reminder text sent to you?

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SMS permission to send regular texts to mobile phone number

07Phone Number
For further information on any of the products listed here please visit the VMD's PRODUCT INFORMATION DATA BASE where you will find up to date information.

If you feel your dog has had a bad reaction to a product or feel a product hasn't worked as you feel it should have, report it to the Veterinary Medicines Directorate or contact us and we'll report it for you

COMPLAINTS PROCEDURE

If you have a complaint about any of the VPS products listed here please contact us immediately. If you feel our reply is unsatisfactory please contact the VMD direct
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Clinic Use Only