Prescription Request Form

Please note: If your pet has not had a veterinary check in the last 6 months or is unstable on its medication, we are unable to provide a repeat prescription until we have examined them. This is a legal requirement for all prescription medications.

If you require medication for multiple pets please submit a separate request for each one.

We require 48 hours for all repeat prescriptions placed before 5pm and we will contact you either to arrange collection for urgent, refrigerated or controlled medications or delivery for all other medications including flea & worm treatments.

Please note that prescription requests are monitored and actioned Monday to Friday.

A few details about yourself:

Title *

First name *

Surname *

Address *

Town/City *

Postcode *

Email *

Phone number *

Alternative phone number

Which branch are you collecting from? *

A few details about your pet:

Pet's name *

Species *

Medication required:

Name of Medication *

Current dose

Quantity required *

Medication required:

Name of Medication

Current dose

Quantity required

Medication required:

Name of Medication

Current dose

Quantity required

Additional information:

Cromwell Vets 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.

We may use your information to send you reminders about products and services you have already purchased from us by SMS, email or post. These may be sent when your pet is due for a vaccination, flea or worming treatment or when your pet is due for a check-up recommended by your vet.

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.

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