Repeat Prescription Requests

If you have already been given a perscription and need to renew it, simply fill in the form below and allow at least 24 hours before picking your prescription up from the practice.

Owners Details:

*Owners Name

*Pets Name

*Your Email

Medication Required:

1) *Medication name

*Quantity

2) Medication name

Quantity

3) Medication name

Quantity

4) Medication name

Quantity

How is your pet doing?
General Comments

Any item marked with an ‘*’ is a required field and must be completed before submitting.

Information filled in upon this form will only be used for the purposes stated and not be used in any marketing activity.

Redruth Veterinary Surgery · Unit G Bartles Ind. Estate · North Street · Redruth · Cornwall · TR15 1HR
info@duchy-rvs.co.uk 01209 218801