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Ashton-Under-Lyne 0161 830 0462
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About Us
Our Team
Pet Insurance
Services
Facilities
Our Charges
Pet Health Plan
Testimonials
Offers
Join the Team
Vacancies
Contact Us
Register your Pet
Repeat Prescriptions
Request an Appointment
Environmental Policy
Call Us
REPEAT PRESCRIPTIONS
View our Privacy Policy here
Title
Your Name and Surname
*
Address Postcode
*
Phone Number
*
Email
*
Pet's Name
*
Species (eg. cat, dog, rabbit)
*
Current weight (if known)
In your knowledge, have we given your pet a healthcheck within the last 3-6 months?
*
Yes
No
Item 1 : Name of Medication Required
Item 1 : Current dosage you are giving
Item 1 : Quantity usually dispensed
Item 2 : Name of Medication Required
Item 2 : Current dosage you are giving
Item 2 : Quantity usually dispensed
Item 3 : Name of Medication Required
Item 3 : Current dosage you are giving
Item 3 : Quantity usually dispensed
What branch would you like to collect the item(s) from?
Please select
Ashton-Under-Lyne
Hyde
Please add any further comments you feel relevant.
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Yes please, I would like to receive reminders (i.e. appointments, boosters and treatment reminders)
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Yes please, I would like to receive marketing communications (i.e. products and services)
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By Post
I agree to have read and accepted your business terms and privacy policy. Your privacy is important to us and you can find out more about how we use your data from our "Full Privacy Notice" which is available from in the links above, and I am over 18
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