Prescription Request Form

(fields marked are required)

Personal Details
 Name
 Surname:
 Address:
 Post Code:
 Telephone:
 E- Mail

 Pet 1 Name

 Medication  Strength  Dosage  Quantity


Pet 2 Name
Medication Strength Dosage Quantity

Pet 3 Name
Medication Strength Dosage Quantity

Pet 4 Name
Medication Strength Dosage Quantity

Food required:

 Wormers required: 
 Flea prevention required:

 Branch to collect meds from:
If you qualify for free delivery please select "Not Applicable"

 Free Delivery within 10 miles
Please select day for delivery
If you do not qualify please select "Not Applicable" 

Additional comments/requests

We will contact you if there are any problems with your request. If you are collecting your medication it will be ready in 48hrs time.






.

Free Initial Consultation with one of our team
of nurses for All New Patients !!

Vets Merseyside | Vets UK | Rutland House Veterinary Hospital St Helens Merseyside


Pet Rememberance | Rutalnd House Veterinary Hospital.

vets merseyside | opening hours

Rutland House Veterinary Hospital

Monday-Friday: 8.00am-8pm
Saturday 9am-4pm
Sunday 10am-1pm

24hour emergency service available

For our other branch opening times, please see "Our Branches" in main menu

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pet treatment packages | merseyside uk

kitten Vaccination | Kitten Health
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pet vaccinations
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dog vaccinations | booster vaccinations


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Subsidised neutering for dogs in conjunction with the Dogs Trust

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