Online Repeat Prescription Order Form

Please use the following form to submit a request for a repeat prescription.

Drug orders will normally take 48hrs to process.

However if they are ordered after 12:00 on Friday they will not be available until 12:00 the following Tuesday.

1. Are you registered with Parkvets?
Yes No

2. Has your pet been examined by a vet in the past 6 mths?
Yes No

3. Surname pet is registered under:

4. Title (Mr, Mrs, Dr,etc):

5. Address to which pet is registered

6. Pet Name:

7. Contact telephone number:

8. Name of medication required:

9. Size of medication required (e.g. 25mg tablet or 10ml bottle)

10. Quantity required (e.g. 30 tablets)

11. Current Dose (e.g. 10mg twice daily)

12. Name of regular vet:

11. Which branch would you like to collect medication from:
Belvedere
Bexley
Eltham
Footscray
Longfield
Mottingham
Swanley

12. How much does your pet weigh(kg)?

13. Your Email Address: