Flea Control & Wormers

A few details about yourself:

Surname

Contact Telephone Number

House No./Name

Address Line 1

From which surgery they would like to collect the items?

A few details about your pet:

Pet's Name

Pet's Age

Species

Breed

Pet's Approx Weight (Kg)

Treatment

Choice of preparation

Flea Treatment

Worming Treatment

Both

For safety, are they using any other preparations purchased elsewhere?

Yes

For safety, are there any other species of animals or small children in contact?

Yes

Please state

If you have previously used this service, do you require the same treatment as before?

Yes

Confirmation of Terms and Conditions

I accept that repeat prescriptions can only be prescribed by a vet upon the condition that my pet has received a health check for the condition(s) in line with the veterinary professions right to prescribe or dispense. *

I accept that repeat prescription requests take up to two working days to process *

I accept that all medication must be paid for upon collection and no credits or refunds can be given for unused medication once they have left the practice *

608 Vet Practice is part of Linnaeus Veterinary Limited. We will not share this information with other companies for their marketing purposes. For more details on how we use your information please see our privacy policy.

The personal data submitted via this form will be retained only for the purpose of responding to your question or concern, and will not be used for marketing purposes.

You must be 16 years old or older to submit a form.

I agree to the Privacy Statement *

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Flea Control & Wormers

608 Vet Practice - Surgery Locations